MEDICARE: BOBBI JO NEMOVICHER LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	5464-C	NV

General Provider Information

NPI Number	:	1598937575
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BOBBI JO NEMOVICHER LCSW

Provider Business Mailing Address
First Line	:	5595 KIETZKE LN
Second Line	:	STE 108
City	:	RENO
State	:	NV
Zip	:	89511-3030
Country	:	US
Telephone Number	:	775-826-6218
Fax Number	:	775-826-6271

Provider Business Practice Location Address
First Line	:	6490 S MCCARRAN BLVD
Second Line	:	STE D1-28
City	:	RENO
State	:	NV
Zip	:	89509-6165
Country	:	US
Telephone Number	:	775-826-6218
Fax Number	:	775-826-6271

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2008
Last Update Date	:	11/21/2017

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