Healthcare Provider Details

I. General information

NPI: 1467369991
Provider Name (Legal Business Name): ELIZABETH DANIELLE RIERSGARD LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5540 RENO CORPORATE DR
RENO NV
89511-2599
US

IV. Provider business mailing address

5540 RENO CORPORATE DR
RENO NV
89511-2599
US

V. Phone/Fax

Practice location:
  • Phone: 775-448-9760
  • Fax:
Mailing address:
  • Phone: 775-448-9760
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number13076-M
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: