Jessica Ann Waller, LCSW | |
1665 Old Hot Springs Rd, Carson City, NV 89706-0782 | |
(775) 687-0874 | |
Not Available |
Full Name | Jessica Ann Waller |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1665 Old Hot Springs Rd, Carson City, Nevada |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194333732 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 8857-C (Nevada) | Primary |
Entity Name | State Of Nevada |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760572010 PECOS PAC ID: 9234022153 Enrollment ID: O20040212000160 |
Mailing Address | Practice Location Address |
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Jessica Ann Waller, LCSW 2731 Clapham Ln, Minden, NV 89423-9235 Ph: (775) 720-1802 | Jessica Ann Waller, LCSW 1665 Old Hot Springs Rd, Carson City, NV 89706-0782 Ph: (775) 687-0874 |
Kamryn Coulter, LCSW-I, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 119 E Long St, Carson City, NV 89706 Phone: 775-461-0025 | |
Melinda Artz, CSW INTERN Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 128 Lake Glen Dr, Carson City, NV 89703 Phone: 775-622-7319 | |
Kathleen Bent, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1665 Old Hot Springs Rd, Suite 150, Carson City, NV 89706 Phone: 775-687-4195 Fax: 775-687-5103 | |
Rebekah Bock, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1665 Old Hot Springs Rd, Suite 150, Carson City, NV 89706 Phone: 775-687-4195 Fax: 775-687-5103 | |
Mr. Kristopher Lee Komarek, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 783 Basque Way Ste 110, Carson City, NV 89706 Phone: 775-400-2996 Fax: 866-244-3992 | |
Karen Valencik, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 407 N Walsh St, Carson City, NV 89701 Phone: 775-298-6386 | |
Valeri Elizabeth Bianchi-wood, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 407 N Walsh St, Carson City, NV 89701 Phone: 775-887-1313 Fax: 775-887-0466 |