Active NPI
Nancy J Podewils, LCSW
- Clinical Social Worker
- Reno, NV
National Provider Identifier
1902003296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 00664-C
- Practice address
- 850 Mill St Ste 301
Reno, NV 89502-1484 - Phone
- (775) 982-5318
- Fax
- (775) 982-5240
- NPI assigned
- Jun 29, 2007
- Sex
- Female
- 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 | 00664-C | NV | Primary |
Addresses
Primary practice location
850 Mill St Ste 301
Reno, NV 89502-1484
Mailing address
780 Kuenzli St Ste 202
Reno, NV 89502-0837
Phone (775) 982-4590
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11951598 | Other | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00664-C | NV | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426118400000",
"number": "1902003296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "780 KUENZLI ST STE 202",
"city": "RENO",
"state": "NV",
"postal_code": "895020837",
"telephone_number": "775-982-4590",
"fax_number": "775-982-4595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 MILL ST STE 301",
"city": "RENO",
"state": "NV",
"postal_code": "895021484",
"telephone_number": "775-982-5318",
"fax_number": "775-982-5240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PODEWILS",
"first_name": "NANCY",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-29",
"last_updated": "2015-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NV",
"license": "00664-C",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11951598",
"state": null
}
],
"endpoints": [],
"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 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.