Active NPI
Yohance Humphery, LCSW
- Clinical Social Worker
- Reno, NV
National Provider Identifier
1639630213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW-1261
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| CSW-1261 | AK | MD | Clinical Social Worker |
| LCSW15510 | AZ | MD | Clinical Social Worker |
| CSW.09924552 | CO | MD | Clinical Social Worker |
Interoperability endpoints
- 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.