JESSICA ANN WALLER LCSW
NPI 1194333732
Social Worker - Clinical in Carson City, NV

Active since July 20, 2020PECOS EnrolledAccepts Medicare Assignment
1665 OLD HOT SPRINGS RD, CARSON CITY, NV 89706(775) 687-0874 Get Directions Write a Review

NPPES record last updated: November 19, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 19, 2021, Jul 20, 2020 (2 updates tracked since 2020).

About Jessica Ann Waller Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA ANN WALLER LCSW (NPI 1194333732) is an individual clinical provider in Carson City, Nevada, licensed in Nevada (8857-C) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Minden, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1194333732
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJESSICA ANN WALLERCredential: LCSW
Location Address1665 OLD HOT SPRINGS RDCarson City, NV 89706-0782
Mailing Address2731 Clapham LnMinden, NV 89423-9235 · (775) 720-1802
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 20, 2020
Last NPPES UpdateNovember 19, 20212 updates tracked since enumeration
NPPES CertifiedNovember 19, 2021
NPI 1194333732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in NV · 8857-C
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

1665 OLD HOT SPRINGS RD, Carson City, NV 89706

Secondary Practice Location 1

Location 12731 Clapham LnMinden, NV 89423-9235 · Phone (775) 720-1802

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jessica Ann Waller Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931598604
PECOS Enrollment IDI20211118000862
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89706 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $57.07 – $173.24
Typical copayment $0.00 (range $14.26 – $43.31)
Most-billed visit code NA
Established Patient
$71.14 typical visit price
range $18.27 – $140.96
Typical copayment $17.78 (range $4.56 – $35.24)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
1665 OLD HOT SPRINGS RD, SUITE 150
CARSON CITY, NV 89706
Social Worker
1665 OLD HOT SPRINGS RD, SUITE 150
CARSON CITY, NV 89706
Registered Nurse
1665 OLD HOT SPRINGS RD, SUITE 150
CARSON CITY, NV 89706
Social Worker (Clinical)
1665 OLD HOT SPRINGS RD, SUITE 150
CARSON CITY, NV 89706
Registered Nurse
1665 OLD HOT SPRINGS RD, SUITE 150
CARSON CITY, NV 89706
Social Worker (Clinical)
1665 OLD HOT SPRINGS RD, SUITE 150
CARSON CITY, NV 89706
Registered Nurse (Psychiatric/Mental Health)
1665 OLD HOT SPRINGS RD, SUITE 150
CARSON CITY, NV 89706
Clinic/Center (Mental Health (Including Community Mental Health Center))
1665 OLD HOT SPRINGS RD, SUITE 157
CARSON CITY, NV 89706

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194333732, enumerated as an "individual" on July 20, 2020.

The provider is located at 1665 OLD HOT SPRINGS RD CARSON CITY, NV 89706 and the phone number is (775) 687-0874.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.