Individual provider Active NPI

Jennifer Maloney, LCSW

  • Clinical Social Worker
  • Reno, NV
National Provider Identifier
1609483791
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10406-C Issued in NV
Practice address
5437 Kietzke LN
Reno, NV 89511-1088
Phone
(775) 322-4550
Fax
(775) 322-4956
NPI assigned
Sep 23, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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 10406-C NV Primary

Addresses

Primary practice location

5437 Kietzke LN
Reno, NV 89511-1088

Mailing address

5437 Kietzke LN
Reno, NV 89511-1088
Phone (755) 322-4550

Other identifiers 1

IdentifierTypeStateIssuer
14987353OtherNVCAQH

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
I20240314001832 NV Practitioner - Clinical Social Worker 0244676062 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State of NevadaGroup PAC ID 9234022153, 57 clinicians

Practice addresses (Care Compare)

415 US Hwy 95a S
BLDG 1
Fernley, NV 89408-9261
Phone (775) 575-7744

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10406-CNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
State of Nevada Current Accepting new patients
State of Nevada CurrentSince Mar 18, 2024 Accepting new patients
State of Nevada CurrentSince Mar 18, 2024 Accepting new patients
Oneill Clark Narvarte & Vicks a Professional Corporation Clinical CurrentSince Feb 15, 2024 Accepting new patients
Maple Star Nevada LLC PastSince Jan 1, 2022 Accepting new patients
State of Nevada Past Accepting new patients
State of Nevada Past Accepting new patients

Locations

4150 Technology Way
Ste 100
Carson City, NV 89706

2340 S Carson St
Ste A
Carson City, NV 89701

727 Fairview Dr
Ste A
Carson City, NV 89701
Phone (775) 684-5000

1665 Old Hot Springs Rd
Ste 150
Carson City, NV 89706
Phone (775) 687-0870

1825 Pinion Rd
Ste A
Elko, NV 89801
Phone (775) 738-8021

1675 Avenue F
Ely, NV 89301
Phone (775) 288-9167

141 Keddie St
Fallon, NV 89406
Phone (775) 423-7141

415 US Highway 95A S
Bldg 1
Fernley, NV 89408
Phone (775) 575-7744

1528 US Highway 395 N
Ste 100
Gardnerville, NV 89410
Phone (775) 687-2160

240 S Humahuaca St
Pahrump, NV 89048
Phone (775) 751-7406

5437 Kietzke Ln
Reno, NV 89511
Phone (775) 784-3319

475 W Haskell St
Winnemucca, NV 89445
Phone (775) 623-6580

215 W Bridge St
Ste 5
Yerington, NV 89447
Phone (775) 463-3191

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1609483791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5437 KIETZKE LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895111088",
            "telephone_number": "755-322-4550",
            "fax_number": "775-322-4956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5437 KIETZKE LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895111088",
            "telephone_number": "775-322-4550",
            "fax_number": "775-322-4956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONEY",
        "first_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-23",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "10406-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14987353",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.