Individual provider Active NPI

Yohance Humphery, LCSW

  • Clinical Social Worker
  • Reno, NV
National Provider Identifier
1639630213
Registry record updated Mar 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW-1261 Issued in AK
Practice address
350 Capitol Hill Ave
Reno, NV 89502-2923
Phone
(775) 326-2965
NPI assigned
Mar 27, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW15510 AZ
Clinical Social Worker 1041C0700X CSW.09924552 CO
Clinical Social Worker 1041C0700X CSW-1261 AK Primary

Addresses

Primary practice location

350 Capitol Hill Ave
Reno, NV 89502-2923

Mailing address

975 Kirman Ave
Reno, NV 89502-0997
Phone (775) 786-7200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Yohance.Humphery@va.gov Direct

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

LicenseStateTypeSpecialty
CSW-1261AKMDClinical Social Worker
LCSW15510AZMDClinical Social Worker
CSW.09924552COMDClinical Social Worker

Interoperability endpoints

  • Direct secure messaging: yohance.humphery@va.gov

NPI Registry JSON

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

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1639630213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 KIRMAN AVE",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895020997",
            "telephone_number": "775-786-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 CAPITOL HILL AVE",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895022923",
            "telephone_number": "775-326-2965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHERY",
        "first_name": "YOHANCE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-27",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW15510",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09924552",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AK",
            "license": "CSW-1261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Yohance.Humphery@va.gov",
            "affiliation": "N",
            "endpointDescription": "Worksite Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "350 Capitol Hill Ave",
            "city": "Reno",
            "state": "NV",
            "country_code": "US",
            "postal_code": "895022923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Mar 27, 2019; 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.