Active NPI
Cecilia Medal Cardoza, LSW
- Social Worker
- Reno, NV
National Provider Identifier
1639525637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6047-S
- Practice address
- 1155 W 4TH St Ste 101
Reno, NV 89503-5146 - Phone
- (775) 200-8528
- Fax
- (774) 800-5115
- NPI assigned
- May 9, 2016
- Last updated
- Aug 2, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 6047-S | NV | Primary |
Addresses
Primary practice location
1155 W 4TH St Ste 101
Reno, NV 89503-5146
Mailing address
10680 Cedar Bend CT
Reno, NV 89521-8204
Phone (775) 200-8528
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 |
|---|---|---|---|
| 6047-S | NV | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cba Healthcare, LLC | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Reno, NV
- NPI 1245502632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470096000000",
"number": "1639525637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10680 CEDAR BEND CT",
"city": "RENO",
"state": "NV",
"postal_code": "895218204",
"telephone_number": "775-200-8528",
"fax_number": "775-800-1551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 W 4TH ST STE 101",
"city": "RENO",
"state": "NV",
"postal_code": "895035146",
"telephone_number": "775-200-8528",
"fax_number": "774-800-5115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDAL CARDOZA",
"first_name": "CECILIA",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-09",
"last_updated": "2016-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NV",
"license": "6047-S",
"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 Aug 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.