OrganizationActive
Children & Family Interventions
NPI 1669627543 · Clinical Social Worker · Fernley, NV
Provider details
- NPI number
- 1669627543
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Jeffrey Davis, Owner(775) 575-4141
- License
- 4835-C (NV)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
35 N West St
Fernley, NV 89408-7671
Phone: (177) 557-5414
Fax: (177) 557-5414
Street-level locationGet directions
Mailing address
35 N West St
Fernley, NV 89408-7671
Registry dates
- Enumerated
- 2008-11-19
- Last updated
- 2008-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.