NICOLE O HARTZ (LCSW) – Clinical Social Worker, NPI 1194933762
Clinical Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
548 CLINICAL SOCIAL WORKER in NV
Provider Addresses for NICOLE O HARTZ (LCSW)
1701 W Charleston Blvd
SUITE 300
Las Vegas, NV 891022325
Phone: (702) 251-8000
Fax: (702) 366-0269
Type: Location
2780 Homestead Rd Ste 210
Pahrump, NV 890485757
Phone: (775) 400-3090
Fax: (775) 582-1308
Type: Location
1923, Sulphur Springs Road, Morristown, Hamblen County, Tennessee, 37813, United States
MORRISTOWN, TN 378135654
Phone: (423) 317-9344
Fax: (423) 714-2355
Type: Mailing
2018, Western Avenue, West Knoxville, Knoxville, Knox County, Tennessee, 37921, United States
KNOXVILLE, TN 379215718
Phone: (865) 544-0406
Fax: (865) 544-0480
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-07-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200729004010 | I | Clinical Social Worker | TN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 89102)
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