Provider Demographics
NPI:1457095648
Name:BEMIS, GINA LEEANN (LMSW)
Entity type:Individual
Prefix:
First Name:GINA
Middle Name:LEEANN
Last Name:BEMIS
Suffix:
Gender:
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1424 JOBS PEAK DR
Mailing Address - Street 2:
Mailing Address - City:GARDNERVILLE
Mailing Address - State:NV
Mailing Address - Zip Code:89460-6902
Mailing Address - Country:US
Mailing Address - Phone:775-445-7300
Mailing Address - Fax:
Practice Address - Street 1:403 FLINT ST
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89501-2007
Practice Address - Country:US
Practice Address - Phone:752-352-2057
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-24
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV5473-M104100000X
NV12161-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker