Active NPI
Tanya Marie Jolley, LCSW, ACM-SW
- Clinical Social Worker
- Reno, NV
National Provider Identifier
1689227944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW018279
- Practice address
- 975 Kirman Ave
Reno, NV 89502-0993 - Phone
- (775) 786-7200
- Fax
- (775) 326-2957
- NPI assigned
- Jul 16, 2019
- 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 | CW018279 | PA | Primary |
Addresses
Primary practice location
975 Kirman Ave
Reno, NV 89502-0993
Mailing address
815 Kiley Pkwy Unit 702
Sparks, NV 89436-4084
Phone (570) 371-1509
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 |
|---|---|---|---|
| CW018279 | PA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563235200000",
"number": "1689227944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 KILEY PKWY UNIT 702",
"city": "SPARKS",
"state": "NV",
"postal_code": "894364084",
"telephone_number": "570-371-1509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "975 KIRMAN AVE",
"city": "RENO",
"state": "NV",
"postal_code": "895020993",
"telephone_number": "775-786-7200",
"fax_number": "775-326-2957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOLLEY",
"first_name": "TANYA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "LCSW, ACM-SW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-16",
"last_updated": "2019-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW018279",
"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 Jul 16, 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.