Healthcare Provider Details

I. General information

NPI: 1558033779
Provider Name (Legal Business Name): SHAWNA ANN PISCIOTTI LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2021
Last Update Date: 01/02/2026
Certification Date: 01/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 S PRATT AVE
CARSON CITY NV
89701-4730
US

IV. Provider business mailing address

650 LONG VALLEY RD
GARDNERVILLE NV
89460-8221
US

V. Phone/Fax

Practice location:
  • Phone: 775-882-3945
  • Fax: 775-882-6126
Mailing address:
  • Phone: 775-790-1991
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number11137-C
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: