Healthcare Provider Details

I. General information

NPI: 1821640640
Provider Name (Legal Business Name): TROY BALTES
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/11/2019
Last Update Date: 04/04/2026
Certification Date: 04/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3595 US HIGHWAY 50 UNIT 5
SILVER SPRINGS NV
89429-7399
US

IV. Provider business mailing address

3595 US HIGHWAY 50 UNIT 5
SILVER SPRINGS NV
89429-7399
US

V. Phone/Fax

Practice location:
  • Phone: 775-577-6441
  • Fax:
Mailing address:
  • Phone: 775-525-4361
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number12547-C
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number12547-C
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: