# NICOLE O'HARTZ L.C.S.W

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801190863
- **Authorized official:** NICOLE CHUCKALINE O'HARTZ L.C.S.W (CLINICAL SOCIAL WORKER)
- **Authorized official phone:** (702) 413-6360

## Contact information

- **Practice address:** 1516 E TROPICANA AVE, 290, 291, LAS VEGAS, NV 89119-6525
- **Practice address phone:** (702) 413-6360
- **Practice address fax:** (702) 413-6364
- **Mailing address:** 1516 E TROPICANA AVE, 290, 291, LAS VEGAS, NV 89119-6525
- **Mailing address phone:** (702) 413-6360
- **Mailing address fax:** (702) 413-6364

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 5495-C | NV | Yes |

## Other

- **Enumeration date:** 01/06/2011
- **Last updated:** 01/06/2011