Andrea Elizabeth Scourby, LMSW, CSW-Intern
Social Worker in Reno, NV. Individual provider (NPI-1).
NPI number1629640487
StatusActive
Last updated in NPPESAug 1, 2025
Details
- NPI
- 1629640487
- Entity type
- Individual (NPI-1)
- Name
- Andrea Elizabeth Scourby
- Credential
- LMSW, CSW-Intern
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 12, 2021
- Certification date
- Aug 1, 2025
- Last updated
- Aug 1, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | 12422-M | NV | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | NV |
Practice location
6151 Lakeside Dr Ste 2000Reno, NV 89511-8541
Phone 775-997-5373 · Fax 775-954-1406
Mailing address
6151 Lakeside Dr Ste 2000Reno, NV 89511-8541
Phone 775-561-4328 · Fax 775-900-9631
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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