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Larry Gregory Heredia , ACSW

Social Worker β€’ Clovis, CA

Active NPI 1275249054 Individual Practitioner Male Practitioner
Practice location in NPPES

784 W Holland Ave
Clovis, CA 936124800

Call 5595381230 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

784 W Holland Ave

Clovis, CA 936124800

Telephone 5595381230
Organization at the Same NPPES Address or Phone
Exodus Recovery, Inc. Facility NPI 1144950411

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 6 distinct additional practice-address records in Fresno, CA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Clovis and California

12 active clinicians are listed under Social Worker with a practice address in Clovis, CA (10,337 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Clovis

0% of these 12 clinicians have the CMS telehealth indicator.

0% of these 12 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-08-04
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

License # reported to NPPES CA 87151

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Secondary Practice Locations

1553 Santa Clara St

Fresno, CA 937063447

Phone: 5595381230

524 S Trinity St

Fresno, CA 937061873

Phone: 5595381230

205 N Blackstone Ave

Fresno, CA 937011939

Phone: 5595381230

130 W Barstow Ave

Fresno, CA 937042156

Phone: 5595381230

4041 Plaza Dr E

Fresno, CA 937021342

Phone: 5595381230

1828 Broadway St

Fresno, CA 937211008

Phone: 5595381230

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location August 07, 2023

Registered at 784 W HOLLAND AVE, CLOVIS, CA 936124800 (Tel: 5595381230)

πŸ“
Updated Business Mailing Address August 07, 2023

Registered at 736 E SIERRA AVE, FRESNO, CA 937103928 (Tel: 5593043287)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2023

Social Worker (license number reported to NPPES: CA 87151)

βœ…
NPI Profile Active January 26, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 26, 2023

Registered at 7120 N MARKS AVE STE 110, FRESNO, CA 937110268 (Tel: 5594389344)

πŸ“
Business Mailing Address (Initial Record) January 26, 2023

Registered at 7120 N MARKS AVE STE 110, FRESNO, CA 937110268 (Tel: 5594395437)

πŸ‘€
Provider Name / Credentials (Initial Record) January 26, 2023

Recorded as LARRY HEREDIA, ACSW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 26, 2023

Counselor (license number reported to NPPES: CA 87151)

🟒
Initial NPI Registration & Enumeration January 25, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1275249054
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 25, 2023
Last Update: August 07, 2023
Sole Proprietor: Yes

Mailing Address

736 E Sierra Ave

Fresno, CA 937103928

Phone: 5593043287

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.