Individual provider Active NPI

Michial Nolan, MSW/LSW

  • Clinical Social Worker
  • Reno, NV
National Provider Identifier
1952622904
Registry record updated Jun 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5379-S Issued in NV
Practice address
335 Record St
#155
Reno, NV 89512-3327
Phone
(775) 324-2622
Fax
(775) 324-0446
NPI assigned
Jun 14, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 5379-S NV Primary

Addresses

Primary practice location

335 Record St
#155
Reno, NV 89512-3327

Mailing address

PO Box 21530
Carson City, NV 89721-1530
Phone (775) 884-2455

Other identifiers 1

IdentifierTypeStateIssuer
5379-SOtherNVSTATE OF NV BOARD OF EXAMINERS FOR SOCIAL WORKERS

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

LicenseStateTypeSpecialty
5379-SNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Restart, Inc Clinical Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276473600000",
    "number": "1952622904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21530",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897211530",
            "telephone_number": "775-884-2455",
            "fax_number": "775-884-0345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 RECORD ST",
            "address_2": "#155",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895123327",
            "telephone_number": "775-324-2622",
            "fax_number": "775-324-0446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLAN",
        "first_name": "MICHIAL",
        "credential": "MSW/LSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-14",
        "last_updated": "2010-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "5379-S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NV BOARD OF EXAMINERS FOR SOCIAL WORKERS",
            "identifier": "5379-S",
            "state": "NV"
        }
    ],
    "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 Jun 14, 2010; 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.