Individual provider Active NPI

Corrie Elizabeth Gerbatz, LSW

  • Social Worker
  • Reno, NV
National Provider Identifier
1669604690
Registry record updated Aug 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
5247-S Issued in NV
Practice address
745 W Moana LN Ste 100
Reno, NV 89509-4940
Phone
(775) 334-3033
Fax
(775) 334-3022
NPI assigned
Aug 8, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 5247-S NV Primary

Addresses

Primary practice location

745 W Moana LN Ste 100
Reno, NV 89509-4940

Mailing address

745 W Moana LN Ste 100
Reno, NV 89509-4940
Phone (775) 334-3033

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
5247-SNVMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1249689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249689600000",
    "number": "1669604690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 W MOANA LN STE 100",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895094940",
            "telephone_number": "775-334-3033",
            "fax_number": "775-334-3022"
        },
        {
            "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": "895094940",
            "telephone_number": "775-334-3033",
            "fax_number": "775-334-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERBATZ",
        "first_name": "CORRIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-08",
        "last_updated": "2009-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NV",
            "license": "5247-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 8, 2009; 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.