Individual provider Active NPI

Francine Marie Heretakis, MSW, LCSW

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1740573880
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2501-C Issued in NV
Practice address
4955 S Durango Dr Ste 179
Las Vegas, NV 89113-0155
Phone
(702) 285-7987
NPI assigned
May 24, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 11829777-3501 UT
Clinical Social Worker 1041C0700X 2501-C NV Primary

Addresses

Primary practice location

4955 S Durango Dr Ste 179
Las Vegas, NV 89113-0155

Mailing address

4955 S Durango Dr Ste 179
Las Vegas, NV 89113-0155
Phone (702) 285-7987

Other practice location 1

255 N Sierra St Unit 1115
Reno, NV 89501-1368
Phone (415) 424-4266

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110727000709 NV Practitioner - Clinical Social Worker 8022286582 Reassigns benefits to 1 organization
Practice locations: Las Vegas, NV

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4955 S Durango Dr
Suite 179
Las Vegas, NV 89113-0155
Phone (702) 285-7987

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2501-CNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Neubauer Mental Health Services, Apc Clinical CurrentSince May 1, 2015 Accepting new patients
Telehealth Services USA Clinical Past Accepting new patients

Locations

5426 Vegas Dr
Las Vegas, NV 89108
Phone (702) 806-5268

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1740573880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4955 S DURANGO DR STE 179",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891130155",
            "telephone_number": "702-285-7987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4955 S DURANGO DR STE 179",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891130155",
            "telephone_number": "702-285-7987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 N Sierra St Unit 1115",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895011368",
            "country_code": "US",
            "telephone_number": "415-424-4266",
            "fax_number": "415-520-6633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERETAKIS",
        "first_name": "FRANCINE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-24",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "11829777-3501",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "2501-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.