Fantanesh Angaw

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8644-C Issued in NV

Practice address

7368 N Decatur Blvd
Unit 3
Las Vegas, NV 89131-3070

Phone

(702) 251-8000

NPI assigned

Sep 23, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• PHC of Nevada Inc

  • Mental Health Counselor
  • Las Vegas, NV
  • NPI 1326187782

  Clinical

  Medicare reassignment NPD
• H.O.P.E. Las Vegas

  • Social Worker
  • Las Vegas, NV
  • NPI 1306182373
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1326474289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 ELM DR APT 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891693617",
            "telephone_number": "702-630-3458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7368 N DECATUR BLVD",
            "address_2": "UNIT 3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891313070",
            "telephone_number": "702-251-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGAW",
        "first_name": "FANTANESH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-23",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "8644-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "8644-C",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.harmonyhc.com",
            "affiliation": "N",
            "address_1": "1701 W Charleston Blvd Ste 300",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891022313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cleotilde Angat
• Maricon Austria Angat
• Nelson Angat
• Restina Angat
• Sheryl Angat
• Angel Care LLC
• Angel Chiropractic Center LLC
• Angel City Hospice, Inc.
• Angel City Hospice, Inc.
• Angel Eye Hospice, LLC

• Clinical Social Worker in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.