MEDICARE: HEADWORKS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker

General Provider Information

NPI Number	:	1932032687
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEADWORKS LLC

Provider Business Mailing Address
First Line	:	7495 W AZURE DR STE 219
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89130-4416
Country	:	US
Telephone Number	:	702-577-2013
Fax Number	:

Provider Business Practice Location Address
First Line	:	7495 W AZURE DR STE 219
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89130-4416
Country	:	US
Telephone Number	:	702-577-2013
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MATTHEW MARX
Credential	:
Telephone Number	:	702-577-2013

Provider Enumeration Date	:	06/03/2026
Last Update Date	:	06/03/2026

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Directions to “HEADWORKS LLC ” Practice Location

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