Organization Active NPI

Nicole O'Hartz L.C.S.W

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1801190863
Registry record updated Jan 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5495-C Issued in NV
Legal business name
NICOLE O'HARTZ L.C.S.W
Practice address
1516 E Tropicana Ave
290, 291
Las Vegas, NV 89119-6525
Phone
(702) 413-6360
Fax
(702) 413-6364
NPI assigned
Jan 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2011

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

Authorized official

Name
Nicole Chuckaline O'Hartz, L.C.S.W
Title
Clinical Social Worker
Phone
(702) 413-6360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 5495-C NV Primary

Addresses

Primary practice location

1516 E Tropicana Ave
290, 291
Las Vegas, NV 89119-6525

Mailing address

1516 E Tropicana Ave
290, 291
Las Vegas, NV 89119-6525
Phone (702) 413-6360

National Provider Directory

National Provider Directory

Locations

1516 E Tropicana Ave
Ste 290
Las Vegas, NV 89119
Phone (702) 413-6360

NPI Registry JSON

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

{
    "created_epoch": "1294272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294272000000",
    "number": "1801190863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 E TROPICANA AVE",
            "address_2": "290, 291",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196525",
            "telephone_number": "702-413-6360",
            "fax_number": "702-413-6364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 E TROPICANA AVE",
            "address_2": "290, 291",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196525",
            "telephone_number": "702-413-6360",
            "fax_number": "702-413-6364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE O'HARTZ L.C.S.W",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-06",
        "last_updated": "2011-01-06",
        "status": "A",
        "authorized_official_last_name": "O'HARTZ",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "CHUCKALINE",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "702-413-6360",
        "authorized_official_credential": "L.C.S.W"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "5495-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.