Active NPI
Andrea Caballero
- Clinical Social Worker
- Henderson, NV
National Provider Identifier
1174999239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 522 E Lake Mead Pkwy
Henderson, NV 89015-5530 - Phone
- (702) 486-6723
- NPI assigned
- Aug 12, 2015
- Last updated
- Jun 20, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NU | Primary | |
| Rehabilitation Practitioner | 225400000X | NU |
Addresses
Primary practice location
522 E Lake Mead Pkwy
Henderson, NV 89015-5530
Mailing address
8044 Imperial Treasure St
Las Vegas, NV 89139-6240
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497916800000",
"number": "1174999239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8044 IMPERIAL TREASURE ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891396240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "522 E LAKE MEAD PKWY",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890155530",
"telephone_number": "702-486-6723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CABALLERO",
"first_name": "ANDREA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-12",
"last_updated": "2017-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
- Joseph B Byrnes, PT, DPT
- Byronn G Hahn DMD PC (Southridge Dental)
- C Edward Yee MD PC (Las Vegas Ophthalmology)
- C Edwards Concepts, LLC Public Health and Development Consulting (Behavioral Health Consultations)
- Omar Baring Cabahug, M.D.
- Briana J Caballero, RBT
- Luana Cabrera, OTR/L
- Ma Corazon Cabrera
- Cabreraheiring PLLC (Speedy Well Being)
- Chelsie Quiling Cabudol, RBT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.