Individual provider Active NPI

Jared L Moser, MSW, CSW-I

  • Clinical Social Worker
  • Reno, NV
National Provider Identifier
1740815919
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
IC-1493 Issued in NV
Practice address
180 Country Estates Cir
Reno, NV 89511-4013
Phone
(775) 870-5027
NPI assigned
Mar 9, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X IC-1493 NV Primary

Addresses

Primary practice location

180 Country Estates Cir
Reno, NV 89511-4013

Mailing address

180 Country Estates Cir
Reno, NV 89511-4013
Phone (775) 870-5027

Other identifiers 1

IdentifierTypeStateIssuer
IC-1493OtherNVBOARD OF EXAMINERS FOR SOCIAL WORKERS

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL jared@tntcreno.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240806004164 NV Practitioner - Clinical Social Worker 9830636968 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IC-1493NVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rethink Therapy, LLC CurrentSince Jul 9, 2024 Accepting new patients
True North Treatment Center LLC PastSince Mar 16, 2020 Accepting new patients
Inner Solutions Clinical Past Accepting new patients

Locations

2520 Saint Rose Pkwy
Ste 310
Henderson, NV 89074
Phone (702) 496-6562

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1583712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1740815919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 COUNTRY ESTATES CIR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895114013",
            "telephone_number": "775-870-5027",
            "fax_number": "775-507-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 COUNTRY ESTATES CIR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895114013",
            "telephone_number": "775-870-5027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSER",
        "first_name": "JARED",
        "middle_name": "L",
        "credential": "MSW, CSW-I",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-09",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "IC-1493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF EXAMINERS FOR SOCIAL WORKERS",
            "identifier": "IC-1493",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jared@tntcreno.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "180 Country Estates Cir",
            "city": "Reno",
            "state": "NV",
            "country_code": "US",
            "postal_code": "895114013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.