NPI 1063760106

Kristopher Lee Komarek, LCSW

Practitioner Clinical Social Worker Carson City, NV

Practice location

Address: 783 Basque Way STE 110, Carson City, NV 89706-7981
Phone: (775) 400-2996
Fax: (866) 244-3992
Mailing address: 316 Golden Pick Dr, Dayton, NV 89403-7412

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 6832-C (NV)

Other Social Worker providers in Nevada →

Registry record

NPI: 1063760106
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Aug 2012
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.