Individual provider Active NPI

Megan Aimee Kornbluth, LCSW

  • Clinical Social Worker
  • Reno, NV
National Provider Identifier
1568948685
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7983-C Issued in NV
Practice address
1201 Terminal Way
Ste 202
Reno, NV 89502-3395
Phone
(530) 580-8848
NPI assigned
Jul 11, 2018
Last updated
Apr 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 7983-C NV Primary

Addresses

Primary practice location

1201 Terminal Way
Ste 202
Reno, NV 89502-3395

Mailing address

15473 Archery VW
Truckee, CA 96161-1415
Phone (530) 580-8848

Other practice location 1

15473 Archery Vw
Truckee, CA 96161-1415
Phone (530) 580-8848

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address makcounseling@megankornbluth.com Direct

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
I20190611003659 NV Practitioner - Clinical Social Worker 0840523593

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mak Counseling Clinical CurrentSince Feb 2, 2020 Accepting new patients

Locations

1201 Terminal Way
Ste 202
Reno, NV 89502
Phone (530) 580-8848

Organizations & group practices 1

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": "1531267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1568948685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15473 ARCHERY VW",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961611415",
            "telephone_number": "530-580-8848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 TERMINAL WAY",
            "address_2": "STE 202",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895023395",
            "telephone_number": "530-580-8848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15473 Archery Vw",
            "address_purpose": "LOCATION",
            "city": "Truckee",
            "state": "CA",
            "postal_code": "961611415",
            "country_code": "US",
            "telephone_number": "530-580-8848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KORNBLUTH",
        "first_name": "MEGAN",
        "middle_name": "AIMEE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-11",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "7983-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "makcounseling@megankornbluth.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1201 TERMINAL WAY",
            "address_2": "STE 202",
            "city": "RENO",
            "state": "NV",
            "country_code": "US",
            "postal_code": "895023395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.