Individual provider Active NPI

Andrea K Vendeiro, LCSW

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1083936645
Registry record updated Apr 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5702-C Issued in NV
Practice address
8275 S Eastern Ave
Las Vegas, NV 89123-2591
Phone
(702) 439-3215
NPI assigned
Feb 24, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 5702-C NV Primary

Addresses

Primary practice location

8275 S Eastern Ave
Las Vegas, NV 89123-2591

Mailing address

1742 Pandora Dr
Las Vegas, NV 89123-1412
Phone (702) 439-3215

Other identifiers 1

IdentifierTypeStateIssuer
1083936645MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120501000479 NV Practitioner - Clinical Social Worker 7618139007 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brightside Medical PCGroup PAC ID 6608262464, 274 clinicians

Practice addresses (Care Compare)

3172 N Rainbow Blvd
Suite 1105
Las Vegas, NV 89108-4534
Phone (415) 360-3348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5702-CNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Therapy Solutions LLC Mental Health CurrentSince May 18, 2019 Accepting new patients
Hale Koa Counseling Services LLC Clinical Current Accepting new patients
Brightside Medical, P.C. CurrentSince Apr 1, 2024 Accepting new patients
Community Counseling Center Past Accepting new patients
Insight Medical Clinicians PA Mental Health PastSince Jan 1, 2025 Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

4760 S Pecos Rd
Ste 103
Las Vegas, NV 89121
Phone (702) 369-9706

2320 Paseo del Prado
Ste B208
Las Vegas, NV 89102

3172 N Rainbow Blvd
Las Vegas, NV 89108
Phone (702) 542-2277

5631 S Pecos Rd
Las Vegas, NV 89120
Phone (949) 688-0486

4045 Spencer St
Ste A48
Las Vegas, NV 89119
Phone (702) 483-8260

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1266969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776556800000",
    "number": "1083936645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1742 PANDORA DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891231412",
            "telephone_number": "702-439-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8275 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891232591",
            "telephone_number": "702-439-3215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENDEIRO",
        "first_name": "ANDREA",
        "middle_name": "K",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-24",
        "last_updated": "2026-04-19",
        "certification_date": "2026-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "5702-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083936645",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.