Active NPI
Stephanie Fagliano, LCSW
- Clinical Social Worker
- Carson City, NV
National Provider Identifier
1659790046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 81956
- Practice address
- 3827 S Carson St, 505-25 Unit #3396
Carson City, NV 89701-8970 - Phone
- (805) 203-3048
- Fax
- (805) 364-5950
- NPI assigned
- Apr 14, 2014
- Last updated
- Jan 27, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 81956 | CA | Primary |
Addresses
Primary practice location
3827 S Carson St, 505-25 Unit #3396
Carson City, NV 89701-8970
Mailing address
PO Box 3593
Stateline, NV 89449-3593
Phone (805) 203-3048
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2023 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 81956 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737936000000",
"number": "1659790046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3593",
"city": "STATELINE",
"state": "NV",
"postal_code": "894493593",
"telephone_number": "805-203-3048",
"fax_number": "805-364-5950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3827 S CARSON ST, 505-25 UNIT #3396",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897018970",
"telephone_number": "805-203-3048",
"fax_number": "805-364-5950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAGLIANO",
"first_name": "STEPHANIE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-14",
"last_updated": "2025-01-27",
"certification_date": "2025-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "81956",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carson City, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.