Andrea L Wicker, MSW, LSW, CSWI

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

IC-497 Issued in NV

Practice address

745 W Moana LN Ste 100
Reno, NV 89509

Phone

(775) 334-3033

NPI assigned

Jun 12, 2007

Last updated

May 18, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526601600000",
    "number": "1619171063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6172 GREENBROOK DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895118528",
            "telephone_number": "775-826-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 W MOANA LN STE 100",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89509",
            "telephone_number": "775-334-3033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 W Moana Ln Ste 104",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895094942",
            "country_code": "US",
            "telephone_number": "404-525-0270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WICKER",
        "first_name": "ANDREA",
        "middle_name": "L",
        "credential": "MSW, LSW, CSWI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-12",
        "last_updated": "2018-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "IC-497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Jason Whitten, M.D.
• Faith Melanie Whittier, MD
• Ryan Wholey, PT
• Lynne M Whyte, M.D.
• Matthew O Wickenhiser
• Chelsea Stewart Wicks, M.D.
• Curtis Charles Wickwire, PHARMD
• Alyssa Widmark, M.A.
• Douglas James Widmark
• Troy L Wiedenbeck, M.D.

• Clinical Social Worker in Reno, NV
• Providers in Reno, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.