Individual provider Active NPI

Thalia Paulina Maya

  • Clinical Social Worker
  • Reno, NV
National Provider Identifier
1568908275
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9498-C Issued in NV
Practice address
2655 Enterprise Rd
Reno, NV 89512-1666
Phone
(775) 688-2415
NPI assigned
Jan 19, 2017
Last updated
Apr 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801102147 MI
Clinical Social Worker 1041C0700X 9498-C NV Primary

Addresses

Primary practice location

2655 Enterprise Rd
Reno, NV 89512-1666

Mailing address

2655 Enterprise Rd
Reno, NV 89512-1666
Phone (775) 688-2415

Other identifiers 1

IdentifierTypeStateIssuer
3434247MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210127003069 NV Practitioner - Clinical Social Worker 1759795032 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801102147MIMDSocial Worker
9498-CNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Vitality Unlimited CurrentSince Nov 1, 2020 Accepting new patients
Vitality Unlimited Current Accepting new patients
Vitality Unlimited CurrentSince Nov 1, 2020 Accepting new patients
Thriveworks Clinical - Nevada CurrentSince Jun 7, 2023 Accepting new patients

Locations

120 Pike St
Dayton, NV 89403
Phone (775) 241-9440

215 Bluffs Ave
Ste 200
Elko, NV 89801
Phone (775) 738-2925

3740 E Idaho St
Elko, NV 89801
Phone (775) 738-8004

1401 N Green Valley Pkwy
Ste 260
Henderson, NV 89074
Phone (562) 556-7388

1135 Terminal Way
Ste 112
Reno, NV 89502
Phone (775) 322-3668

9855 Double R Blvd
Ste 110
Reno, NV 89521

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1484784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1568908275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 ENTERPRISE RD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895121666",
            "telephone_number": "775-688-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 ENTERPRISE RD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895121666",
            "telephone_number": "775-688-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYA",
        "first_name": "THALIA",
        "middle_name": "PAULINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-19",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801102147",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "9498-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3434247",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.