TRACEY TAKETA FUGAZZI MSW, LCSW
NPI 1922112069
Social Worker - Clinical in Las Vegas, NV

Q: What is Tracey Taketa Fugazzi's NPI number?

The NPI number for Tracey Taketa Fugazzi is 1922112069. It was assigned to this individual provider in the NPPES registry on August 18, 2006. The provider is also known as Tracey Kotomi Taketa Msw, Lcsw.

Q: What is Tracey Taketa Fugazzi's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since August 18, 2006

7455 W WASHINGTON AVE, #480, LAS VEGAS, NV 89128(702) 889-5525 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Tracey Taketa Fugazzi Msw, Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRACEY TAKETA FUGAZZI MSW, LCSW (NPI 1922112069) is an individual clinical provider in Las Vegas, Nevada, licensed in Nevada (4113-C) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1922112069

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameTRACEY TAKETA FUGAZZICredential: MSW, LCSW

Location Address7455 W WASHINGTON AVE, #480Las Vegas, NV 89128-4337

Mailing Address7455 W Washington Ave, #480Las Vegas, NV 89128-4337 · (702) 889-5525

Phone(702) 889-5525

Sole ProprietorNo

Enumeration DateAugust 18, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1922112069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in NV · 4113-C

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

7455 W WASHINGTON AVE, Las Vegas, NV 89128

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Other Names 1

Former Name (1)Tracey Kotomi Taketa Msw, Lcsw

Other Identifiers 1

OtherPENDINGNV · Medicare

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DENA KAE MEETER APRN

Nurse Practitioner (Pediatrics)

7455 W WASHINGTON AVE, #160
LAS VEGAS, NV 89128

Clark County (702) 878-0393

ALEXANDRIA SCHLEIGH MOORE

Specialist/Technologist, Other (Electroneurodiagnostic)

7455 W WASHINGTON AVE
LAS VEGAS, NV 89128

Clark County (855) 864-4322

AMY BUCKMAN PT

Physical Therapist

7455 W WASHINGTON AVE, SUITE 100
LAS VEGAS, NV 89128

Clark County (702) 655-9456

MR. JAY SPENCER ZURFLUH PA-C

Physician Assistant (Surgical)

7455 W WASHINGTON AVE, #160
LAS VEGAS, NV 89128

Clark County (702) 878-0393

DYLAN FRANCES M CARO COTA/L

Occupational Therapy Assistant

7455 W WASHINGTON AVE
LAS VEGAS, NV 89128

Clark County (702) 655-9456

BRADLEY SCOTT BAKER MD

Orthopaedic Surgery

7455 W WASHINGTON AVE, #160
LAS VEGAS, NV 89128

Clark County (702) 878-0393

RONALD W. HILLOCK M.D.

Orthopaedic Surgery

7455 W WASHINGTON AVE, #160
LAS VEGAS, NV 89128

Clark County (702) 878-0393

LABORATORY MEDICINE CONSULTANTS LTD

Pathology (Anatomic Pathology & Clinical Pathology)

7455 W WASHINGTON AVE, SUITE 301
LAS VEGAS, NV 89128

Clark County (702) 732-3441

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tracey Taketa Fugazzi's NPI number?

The NPI number for Tracey Taketa Fugazzi is 1922112069. It was assigned to this individual provider in the NPPES registry on August 18, 2006. The provider is also known as Tracey Kotomi Taketa Msw, Lcsw.

Where is Tracey Taketa Fugazzi located?

Tracey Taketa Fugazzi practices at 7455 W Washington Ave #480, Las Vegas, NV 89128. The listed phone number is (702) 889-5525.

What is Tracey Taketa Fugazzi's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Tracey Taketa Fugazzi was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.