Thomas Carl Baltisberger, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

4685-S Issued in NV

Practice address

745 W Moana LN
Suite 100
Reno, NV 89509-4932

Phone

(775) 334-3033

Fax

(775) 334-3026

NPI assigned

Oct 31, 2007

Last updated

Oct 31, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193788800000",
    "number": "1861671356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 W MOANA LN",
            "address_2": "SUITE 100",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895094932",
            "telephone_number": "775-334-3033",
            "fax_number": "775-334-3026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 W MOANA LN",
            "address_2": "SUITE 100",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895094932",
            "telephone_number": "775-334-3033",
            "fax_number": "775-334-3026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALTISBERGER",
        "first_name": "THOMAS",
        "middle_name": "CARL",
        "name_prefix": "Mr.",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-31",
        "last_updated": "2007-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NV",
            "license": "4685-S",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Ballesteros, RBT
• Corinne Balliette
• James M Balmut, M.A.
• Christopher M Baloga, D.O.
• Nancisa Balois
• Tracie Marie Balvanz, PHARM.D.
• Steve Bamberger, P.T.
• Rommel Rainier Lamagna Banaag
• Laura Josephine Bandy
• Monica Bane

• Social Worker in Reno, NV
• Providers in Reno, NV by specialty
• Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.