Individual provider Active NPI

Winta T Haile, MSW, LCSW

  • Clinical Social Worker
  • Reno, NV
National Provider Identifier
1972954907
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8300-C Issued in NV
Practice address
5865 Tyrone Rd Ste 201
Reno, NV 89502-6266
Phone
(775) 379-3516
NPI assigned
Jun 30, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 8300-C NV Primary

Addresses

Primary practice location

5865 Tyrone Rd Ste 201
Reno, NV 89502-6266

Mailing address

119 E Long St
Carson City, NV 89706-2505
Phone (775) 461-0025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vitality Unlimited CurrentSince Jun 3, 2020 Accepting new patients
Vitality Unlimited Multi-Specialty Current Accepting new patients
Vitality Unlimited Multi-Specialty CurrentSince Jun 3, 2020 Accepting new patients

Locations

119 E Long St
Carson City, NV 89706
Phone (775) 461-0025

120 Pike St
Dayton, NV 89403
Phone (775) 241-9440

3740 E Idaho St
Elko, NV 89801
Phone (775) 738-8004

215 Bluffs Ave
Ste 200
Elko, NV 89801
Phone (775) 738-2925

1135 Terminal Way
Ste 112
Reno, NV 89502
Phone (775) 322-3668

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1972954907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 E LONG ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897062505",
            "telephone_number": "775-461-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5865 TYRONE RD STE 201",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895026266",
            "telephone_number": "775-379-3516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAILE",
        "first_name": "WINTA",
        "middle_name": "T",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-30",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "8300-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.