Healthcare Provider Details

I. General information

NPI: 1306316153
Provider Name (Legal Business Name): KRISTA SIOTAS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/04/2018
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

495 APPLE ST STE 100
RENO NV
89502-3527
US

IV. Provider business mailing address

495 APPLE ST STE 100
RENO NV
89502-3527
US

V. Phone/Fax

Practice location:
  • Phone: 775-525-0270
  • Fax: 775-432-6150
Mailing address:
  • Phone: 775-525-0270
  • Fax: 775-432-6150

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number9410-C
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: