Active NPI
Henry Lugo Meraz Jr., LCSW
- Clinical Social Worker
- Fresno, CA
National Provider Identifier
1396041232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 72943
- Practice address
- 6777 N Willow Ave
Fresno, CA 93710-5900 - Phone
- (559) 824-3779
- Fax
- (559) 705-1936
- NPI assigned
- Feb 9, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 72943 | CA | |
| Clinical Social Worker | 1041C0700X | 72943 | CA | Primary |
Addresses
Primary practice location
6777 N Willow Ave
Fresno, CA 93710-5900
Mailing address
8616 N Garden Ave
Fresno, CA 93720-3975
Phone (559) 824-3779
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 800677527 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161206001353 | CA | Practitioner - Clinical Social Worker | 7517247760 | Practice locations: Fresno, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72943 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safe and Affirmative Counseling, Licensed Clinical Social Worker, Inc | Mental Health | Current | Accepting new patients |
Locations
6777 N Willow Ave
Fresno, CA 93710
Phone (559) 261-2999
7555 N Del Mar Ave
Ste 206
Fresno, CA 93711
Phone (559) 500-6744
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Fresno, CA
- NPI 1518505262
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564444800000",
"number": "1396041232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8616 N GARDEN AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937203975",
"telephone_number": "559-824-3779",
"fax_number": "559-705-1936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6777 N WILLOW AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937105900",
"telephone_number": "559-824-3779",
"fax_number": "559-705-1936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERAZ",
"first_name": "HENRY",
"middle_name": "LUGO",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-02-09",
"last_updated": "2019-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "72943",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "72943",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "800677527",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; 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.