Active NPI
Patrick Llewellyn Merrill
- Clinical Social Worker
- Reno, NV
National Provider Identifier
1912564675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 5776-C
- Practice address
- 975 Kirman Ave - CH 116
Reno, NV 89502 - Phone
- (775) 842-1397
- NPI assigned
- May 28, 2019
- Sex
- Male
- 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 | 5776-C | NV | Primary |
Addresses
Primary practice location
975 Kirman Ave - CH 116
Reno, NV 89502
Mailing address
975 Kirman Ave - CH 116
Reno, NV 89502
Phone (775) 842-1397
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5776-C | NV | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559001600000",
"number": "1912564675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "975 KIRMAN AVE - CH 116",
"city": "RENO",
"state": "NV",
"postal_code": "89502",
"telephone_number": "775-842-1397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "975 KIRMAN AVE - CH 116",
"city": "RENO",
"state": "NV",
"postal_code": "89502",
"telephone_number": "775-842-1397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRILL",
"first_name": "PATRICK",
"middle_name": "LLEWELLYN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-28",
"last_updated": "2019-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NV",
"license": "5776-C",
"primary": true
}
],
"identifiers": [],
"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 May 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.