Active NPI
Paula Jean Berry, LCSW
- Clinical Social Worker
- Reno, NV
National Provider Identifier
1710289095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4328-C
- Practice address
- 3690 Grant Dr
Suite K
Reno, NV 89509-5476 - Phone
- (775) 351-7084
- NPI assigned
- Nov 18, 2010
- Last updated
- Dec 16, 2016
- 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 | 4328-C | NV | Primary |
Addresses
Primary practice location
3690 Grant Dr
Suite K
Reno, NV 89509-5476
Mailing address
3690 Grant Dr
Suite K
Reno, NV 89509-5476
Phone (775) 351-7084
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 |
|---|---|---|---|
| 4328-C | NV | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481846400000",
"number": "1710289095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3690 GRANT DR",
"address_2": "SUITE K",
"city": "RENO",
"state": "NV",
"postal_code": "895095476",
"telephone_number": "775-351-7084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3690 GRANT DR",
"address_2": "SUITE K",
"city": "RENO",
"state": "NV",
"postal_code": "895095476",
"telephone_number": "775-351-7084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRY",
"first_name": "PAULA",
"middle_name": "JEAN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-18",
"last_updated": "2016-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NV",
"license": "4328-C",
"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 Dec 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.