Individual provider Active NPI

Stephanie Vargas

  • Clinical Social Worker
  • Yerington, NV
National Provider Identifier
1811494081
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11020-C Issued in NV
Practice address
720 S Main St Ste C
Yerington, NV 89447-2474
Phone
(775) 463-6597
Fax
(775) 463-6598
NPI assigned
Apr 12, 2018
Last updated
Oct 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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 11020-C NV Primary

Addresses

Primary practice location

720 S Main St Ste C
Yerington, NV 89447-2474

Mailing address

407 N Walsh St
Carson City, NV 89701-4268
Phone (775) 477-5298

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
I20210927000819 NV Practitioner - Clinical Social Worker 2466859947 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11020-CNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Carson Tahoe Physician Clinics CurrentSince Apr 30, 2024 Accepting new patients
Vitality Unlimited CurrentSince Aug 1, 2021 Accepting new patients
Carson Tahoe Regional Healthcare CurrentSince Feb 12, 2024 Accepting new patients
Grounded Roots Therapy Clinical CurrentSince Oct 8, 2023 Accepting new patients
CTH Physicians Clinic Current Accepting new patients
Vitality Unlimited CurrentSince Aug 1, 2021 Accepting new patients
Carson Tahoe Regional Healthcare CurrentSince Feb 12, 2024 Accepting new patients
Vitality Unlimited Current Accepting new patients

Locations

1600 Medical Pkwy
Carson City, NV 89703
Phone (775) 220-9149

2874 N Carson St
Ste 200
Carson City, NV 89706
Phone (775) 283-3220

407 N Walsh St
Carson City, NV 89701
Phone (775) 298-6386

680 W Nye Ln
Ste 201
Carson City, NV 89703
Phone (775) 461-0025

775 Fleischmann Way
Fl 2
Carson City, NV 89703
Phone (775) 445-5632

900 E Long St
Ste 201
Carson City, NV 89706
Phone (725) 461-0025

120 Pike St
Dayton, NV 89403
Phone (775) 241-9440

3740 E Idaho St
Elko, NV 89801
Phone (775) 738-8004

1135 Terminal Way
Ste 112
Reno, NV 89502
Phone (775) 322-3668

Interoperability endpoints

  • Direct secure messaging: stephanie.vargas.p1@direct.wthc.nextgenshare.com

Organizations & group practices 8

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": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1811494081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 N WALSH ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897014268",
            "telephone_number": "775-477-5298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 S MAIN ST STE C",
            "city": "YERINGTON",
            "state": "NV",
            "postal_code": "894472474",
            "telephone_number": "775-463-6597",
            "fax_number": "775-463-6598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGAS",
        "first_name": "STEPHANIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-12",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "11020-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yerington, NV

Sources for this page

Verify at the official NPI Registry.