Active NPI
Ezekiel Howard Amosa Vinson
- Clinical Social Worker
- Reno, NV
National Provider Identifier
1467287474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 11721-M
- Practice address
- 955 S Virginia St Ste 212
Reno, NV 89502-2478 - Phone
- (775) 346-4191
- NPI assigned
- Sep 9, 2024
- Last updated
- Sep 9, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 11721-M | NV | Primary |
Addresses
Primary practice location
955 S Virginia St Ste 212
Reno, NV 89502-2478
Mailing address
251 E 224TH St S
Ely, NV 89301-9630
Phone (775) 296-2506
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11721-M | NV | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1467287474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 E 224TH ST S",
"city": "ELY",
"state": "NV",
"postal_code": "893019630",
"telephone_number": "775-296-2506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "955 S VIRGINIA ST STE 212",
"city": "RENO",
"state": "NV",
"postal_code": "895022478",
"telephone_number": "775-346-4191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINSON",
"first_name": "EZEKIEL",
"middle_name": "HOWARD AMOSA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-09-09",
"last_updated": "2024-09-09",
"certification_date": "2024-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NV",
"license": "11721-M",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.