Individual provider Active NPI

Nalini Channapatna Prasanna, LCSW

  • Clinical Social Worker
  • Reno, NV
National Provider Identifier
1952720203
Registry record updated Dec 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7115-C Issued in NV
Practice address
515 Court St Ste 2E
Reno, NV 89501-1710
Phone
(775) 379-3529
NPI assigned
Apr 15, 2014
Last updated
Dec 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2020

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 7115-C NV Primary

Addresses

Primary practice location

515 Court St Ste 2E
Reno, NV 89501-1710

Mailing address

515 Court St Ste 2E
Reno, NV 89501-1710
Phone (775) 379-3529

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160218001414 NV Practitioner - Clinical Social Worker 7719282383 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

515 Court St
Suite 2E
Reno, NV 89501-1710
Phone (775) 379-3529

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mindspace Psychotherapy LLC Clinical CurrentSince Dec 13, 2020 Accepting new patients
State of Nevada Past Accepting new patients
State of Nevada Past Accepting new patients

Locations

515 Court St
Ste 2E
Reno, NV 89501
Phone (775) 379-3529

Organizations & group practices 3

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": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1952720203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 COURT ST STE 2E",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895011710",
            "telephone_number": "775-379-3529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 COURT ST STE 2E",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895011710",
            "telephone_number": "775-379-3529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANNAPATNA PRASANNA",
        "first_name": "NALINI",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-15",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "7115-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.