Active NPI
Jared L Moser, MSW, CSW-I
- Clinical Social Worker
- Reno, NV
National Provider Identifier
1740815919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- IC-1493
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IC-1493 | Other | NV | BOARD OF EXAMINERS FOR SOCIAL WORKERS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IC-1493 | NV | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rethink Therapy, LLC | Current | Accepting new patients | |
| True North Treatment Center LLC | Past | 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.
-
- Mental Health Counselor
- Henderson, NV
- NPI 1508317256
-
- Clinical Social Worker
- Reno, NV
- NPI 1710572482
-
- Community/Behavioral Health Agency
- Reno, NV
- NPI 1205294782
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.