Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1275249054 Individual Practitioner Male Practitioner

Larry Gregory Heredia , ACSW

Social Worker • Clovis, CA

Professional Overview & Biography Verified Profile Summary

Larry Heredia, ACSW is a registered healthcare professional specializing in Social Worker in Clovis, CA. Practice services are available at 784 W HOLLAND AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

784 W Holland Ave

Clovis, CA 936124800

Telephone 5595381230
Associated Practice Facility / Clinic
🏢 Exodus Recovery, Inc. Facility NPI 1144950411

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Clovis, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.2 Yrs
Regional Practice Density
12 Specialists

Practicing in Clovis, CA (10507 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-08-04
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License 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.

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

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Bianca Bustos

Counselor - Mental Health

NPI 1053893016
James Willis

Registered Nurse - Psychiatric/Mental Health

NPI 1063362408
Kassandra Delatorre

Day Training/Habilitation Specialist

NPI 1093366353
Mayra Chavez

Community Health Worker

NPI 1114636644
Mercedes Cavazos

Community Health Worker

NPI 1144092040
NPI 1144988486

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location August 07, 2023

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

📍
Updated Business Mailing Address August 07, 2023

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

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

Social Worker (License #87151 in CA)

NPI Profile Active January 26, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location January 26, 2023

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

📍
Updated Business Mailing Address January 26, 2023

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

👤
Provider Name / Credentials Updated January 26, 2023

Recorded as LARRY HEREDIA, ACSW

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

Counselor (License #87151 in CA)

🟢
Initial NPI Registration & Enumeration January 25, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.