Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jessica Ann Waller, LCSW

Individual provider Clinical Social Worker · NPI 1194333732

Jessica Ann Waller, LCSW is a Clinical Social Worker in Carson City, Nevada. Qualified in 2017, 9 years ago. Practices with State of Nevada, a 57-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
9
Licensed in
NV
In the registry since
2020
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1665 Old Hot Springs Rd
Carson City, NV 89706-0782
Phone: (775) 687-0874
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2731 Clapham Ln, Minden, NV 89423-9235 — (775) 720-1802

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 8857-C (NV)

Record details

NPI number1194333732
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJuly 20, 2020
Last updated in NPPESNovember 19, 2021
Certification dateNovember 19, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice State Of Nevada — 57 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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