Aaron V Blackham, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5007-S Issued in NV

Practice address

4600 Kietzke LN
Reno, NV 89502-5033

Phone

(775) 507-7222

NPI assigned

Jul 30, 2019

Sex

Male

Sole proprietor

No

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.

• Lisa May PLLC

  • Clinical Social Worker
  • Reno, NV
  • NPI 1902562648

  Clinical, NV

  Medicare reassignment Care Compare group NPD
• Diana Wright, Psy.D., LLC

  • Psychologist
  • Reno, NV
  • NPI 1780181248

  Clinical, NV

  Medicare reassignment NPD

Specialty

Clinical Social Worker

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lisa May PLLC 12 clinicians

Practice addresses (Care Compare)

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 2, 2022.

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1841844511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 KIETZKE LN STE N250",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895025000",
            "telephone_number": "755-077-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 KIETZKE LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895025033",
            "telephone_number": "775-507-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKHAM",
        "first_name": "AARON",
        "middle_name": "V",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-30",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "9470-C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "5007-S",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis W. Black, CADC
• Jennifer Black
• Josh J Black, RRT
• Peggie J. Arreche Black, APRN
• Doris Blackburn
• Bret S Blackhart, M.D.
• Raeven Blackman-Shipp
• Kimberly Blackmore
• Arcelia Blackowl
• Sierra Blair

• All providers in Reno, NV
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.