MEDICARE: TIRA PRICE LMSW, CSWI

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	11709-M	NV

General Provider Information

NPI Number	:	1831794593
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIRA PRICE LMSW, CSWI

Provider Business Mailing Address
First Line	:	201 W LIBERTY ST STE LL2
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89501-2067
Country	:	US
Telephone Number	:	775-525-8103
Fax Number	:

Provider Business Practice Location Address
First Line	:	201 W LIBERTY ST STE LL2
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89501-2067
Country	:	US
Telephone Number	:	775-525-8103
Fax Number	:

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

Provider Enumeration Date	:	12/01/2020
Last Update Date	:	08/01/2025

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