Healthcare Provider Details

I. General information

NPI: 1659298644
Provider Name (Legal Business Name): SARA THOMPSON-KIRBY LMSW, CSW-I
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85 WASHINGTON ST
RENO NV
89503-5604
US

IV. Provider business mailing address

1490 STARDUST ST # 5121
RENO NV
89503-4238
US

V. Phone/Fax

Practice location:
  • Phone: 775-453-4149
  • Fax:
Mailing address:
  • Phone: 775-453-5056
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number12645-M
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: