OrganizationNicole O'Hartz L.C.S.WSocial WorkerBehavioral Health & Social Service ProvidersPractice Address1516 E Tropicana Ave, 290, 291, Las Vegas, NV 89119-6525(702) 413-6360PECOS EnrollmentBased on the most recent information from CMS, provider Nicole O'Hartz L.C.S.W does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:14 PM.Profile DetailsProvider ID1801190863Provider TypeOrganizationFull NameNicole O'Hartz L.C.S.WSubpartNoEnumeration Date1/6/2011Last Updated1/6/2011Contact InformationPractice LocationPractice Address1516 E Tropicana Ave, 290, 291, Las Vegas, NV 89119-6525Phone(702) 413-6360Fax(702) 413-6364Mailing LocationMailing Address1516 E Tropicana Ave, 290, 291, Las Vegas, NV 89119-6525Phone(702) 413-6360Fax(702) 413-6364Authorized OfficialNameO'Hartz, Nicole Chuckaline (Clinical Social Worker)Phone(702) 413-6360Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense5495-CNevada