Individual provider Active NPI

Jodi Jones, LCSW

  • Clinical Social Worker
  • Reno, NV
National Provider Identifier
1750726717
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7213-C Issued in NV
Practice address
10631 Professional Cir Ste a
Reno, NV 89521-5835
Phone
(775) 826-6218
Fax
(775) 826-6271
NPI assigned
May 5, 2013
Last updated
Jun 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2019

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 7213-C NV Primary

Addresses

Primary practice location

10631 Professional Cir Ste a
Reno, NV 89521-5835

Mailing address

1835 Wendy Way
Reno, NV 89509-8208
Phone (775) 846-3078

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
I20190712002991 NV Practitioner - Clinical Social Worker 5799010708 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stephen Mayville a Professional CorporationGroup PAC ID 7113343930, 2 clinicians
Gentry Integrated Sleep and Wellness PLLCGroup PAC ID 8224252457, 2 clinicians

Practice addresses (Care Compare)

10631 Professional Cir
Ste. a
Reno, NV 89521-5848

10631 Professional Cir
Suite a
Reno, NV 89521-5835
Phone (775) 826-6218

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7213-CNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Gentry Integrated Sleep and Wellness PLLC CurrentSince Jun 10, 2019 Accepting new patients
Stephen Mayville a Professional Corporation CurrentSince Oct 9, 2020 Accepting new patients

Locations

10631 Professional Cir
Ste A
Reno, NV 89521
Phone (775) 826-6218

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1367712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1750726717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 WENDY WAY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895098208",
            "telephone_number": "775-846-3078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10631 PROFESSIONAL CIR STE A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895215835",
            "telephone_number": "775-826-6218",
            "fax_number": "775-826-6271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "JODI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-05",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "7213-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.