Individual provider Active NPI

Anthony Fulco III, LCSW

  • Social Worker
  • Las Vegas, NV
National Provider Identifier
1851830863
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
11680-C Issued in NV
Practice address
5584 S Fort Apache Rd
Las Vegas, NV 89148-7657
Phone
(702) 296-1222
NPI assigned
Feb 23, 2017
Last updated
Feb 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 093367-1 NY
Social Worker 104100000X 11680-C NV Primary

Addresses

Primary practice location

5584 S Fort Apache Rd
Las Vegas, NV 89148-7657

Mailing address

5584 S Fort Apache Rd
Las Vegas, NV 89148-7657
Phone (702) 296-1222

Other practice location 1

1500 Hempstead Tpke
East Meadow, NY 11554-1551
Phone (516) 739-7733 ext. 606

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
I20260223001577 NV Practitioner - Clinical Social Worker 3779828504 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1500 Hempstead Tpke
East Meadow, NY 11554-1551

5584 S Fort Apache Rd
Las Vegas, NV 89148-7657

5725 S Valley View Blvd
Suite 5 PMB 706419
Las Vegas, NV 89118-3122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11680-CNVMDSocial Worker
093367-1NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Solutions LLC CurrentSince Jan 10, 2026 Accepting new patients

Locations

5584 S Fort Apache Rd
Las Vegas, NV 89148
Phone (702) 296-1222

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1487808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1851830863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5584 S FORT APACHE RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891487657",
            "telephone_number": "702-296-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5584 S FORT APACHE RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891487657",
            "telephone_number": "702-296-1222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Hempstead Tpke",
            "address_purpose": "LOCATION",
            "city": "East Meadow",
            "state": "NY",
            "postal_code": "115541551",
            "country_code": "US",
            "telephone_number": "516-739-7733 x606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FULCO",
        "first_name": "ANTHONY",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-23",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "093367-1",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NV",
            "license": "11680-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.