Prestigiacomo, Patricia Anne
Prestigiacomo, Patricia Anne is an individual health care provider with primary practice located at 850 Mill St Ste 100 , Reno NV 89502-1463. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Prestigiacomo, Patricia Anne can be contacted via phone (775) 538-6700.Contact Information
Primary practice address
850 Mill St Ste 100
Reno NV 89502-1463
Phone: (775) 538-6700
Fax: (775) 688-5678
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Social Worker | 104100000X | 4402-S | Nevada |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | IC-410 | Nevada |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 5133-C | Nevada |
Profile Details
NPI number | 1780627851 |
---|---|
LBN Legal business name | Prestigiacomo, Patricia Anne |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 14th, 2006 |
Last updated | Jan 3rd, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1780627851 | NPPES |
Nevada | MEDICAID | 100507630 |
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