Amanda Marie Fantaro, LSW, CSW-INTERN

Primary specialty

Social WorkerTaxonomy code 104100000X

License

7529-S Issued in NV

Practice address

1515 E Tropicana Ave # 580
Las Vegas, NV 89119-6517

Phone

(702) 898-5311

Fax

(702) 222-3275

NPI assigned

Aug 7, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Red Rock Psychological Health, LLC

  • Clinical Social Worker
  • Las Vegas, NV
  • NPI 1295073724
  NPD (past)

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

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1821513110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 E TROPICANA AVE # 580",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196517",
            "telephone_number": "702-898-5311",
            "fax_number": "702-222-3275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 E TROPICANA AVE # 580",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196517",
            "telephone_number": "702-898-5311",
            "fax_number": "702-222-3275"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3530 E Flamingo Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891215091",
            "country_code": "US",
            "telephone_number": "702-816-3400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FANTARO",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "credential": "LSW, CSW-INTERN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-07",
        "last_updated": "2022-07-21",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NV",
            "license": "7529-S",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fani Foundation Organization Inc
• Emily Fankuleski, QBA
• Aisha Fanning
• Cara Fanning, MD
• Michelle P Fanning
• Lucas Andrew Farabee, DC
• Farabi Center PLLC (HPV Center of Las Vegas)
• Alireza Farabi, MD
• Ramez Farah, M.D.
• Homayoun Camran Farahani, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.