Active NPI
Daniel Mark Wilson, LMSW, CSW-I
- Social Worker
- Reno, NV
National Provider Identifier
1922866342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 10816-M
- Practice address
- 975 Kirman Ave.
Reno, NV 89502 - Phone
- (775) 326-2920
- NPI assigned
- Mar 11, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | IC-2325 | NV | |
| Social Worker | 104100000X | 10816-M | NV | Primary |
Addresses
Primary practice location
975 Kirman Ave.
Reno, NV 89502
Mailing address
975 Kirman Ave.
Reno, NV 89502
Phone (775) 326-2920
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 |
|---|---|---|---|
| 10816-M | NV | MD | Social Worker |
| IC-2325 | NV | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710115200000",
"number": "1922866342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "975 KIRMAN AVE.",
"city": "RENO",
"state": "NV",
"postal_code": "89502",
"telephone_number": "775-326-2920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "975 KIRMAN AVE.",
"city": "RENO",
"state": "NV",
"postal_code": "89502",
"telephone_number": "775-326-2920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "DANIEL",
"middle_name": "MARK",
"credential": "LMSW, CSW-I",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-03-11",
"last_updated": "2024-03-11",
"certification_date": "2024-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NV",
"license": "IC-2325",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NV",
"license": "10816-M",
"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 Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.