Healthcare Provider Details

I. General information

NPI: 1073131603
Provider Name (Legal Business Name): BRIANNA SESTILLA ROSE CITRIGNO LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2020
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

775 FLEISCHMANN WAY
CARSON CITY NV
89703-2995
US

IV. Provider business mailing address

811 CHERNUS DR
CARSON CITY NV
89703-1506
US

V. Phone/Fax

Practice location:
  • Phone: 775-445-8000
  • Fax:
Mailing address:
  • Phone: 855-581-0100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number13384-C
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: