Individual
PATRICIA ANNE PRESTIGIACOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
850 MILL ST STE 100, RENO, NV 89502-1463
(775) 538-6700
(775) 688-5678
Mailing address
850 MILL ST STE 100, RENO, NV 89502-1463
(775) 538-6700
(775) 688-5878
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
4402-S
NV
1041C0700X
Clinical Social Worker
Primary
5133-C
NV
1041C0700X
Clinical Social Worker
IC-410
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100507630
—
NV
Enumeration date
06/14/2006
Last updated
01/03/2022
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