LARRY GREGORY HEREDIA ACSW NPI 1275249054

NPI Information

  • NPI: 1275249054
  • Provider Name: LARRY GREGORY HEREDIA, ACSW
  • Classification: Social Worker - 104100000X
  • Entity Type: Individual
  • Address: 784 W HOLLAND AVE
    CLOVIS, CA
    ZIP 93612
  • Phone: (559) 538-1230

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NPI Details

Larry Gregory Heredia, ACSW is a social worker in Clovis, CA. The provider is 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. Larry Gregory Heredia, ACSW NPI is 1275249054. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

784 W HOLLAND AVE
CLOVIS, CA
ZIP 93612-800
Phone: (559) 538-1230

The enumeration date for this NPI number is 1/25/2023 and was last updated on 8/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1104100000XSocial Worker87151CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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