Individual provider Active NPI

Sandra Calvillo

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1184912842
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10262-C Issued in NV
Practice address
10401 W Charleston Blvd
Las Vegas, NV 89135-1151
Phone
(702) 207-4242
NPI assigned
Jul 15, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X
Clinical Social Worker 1041C0700X 10262-C NV Primary

Addresses

Primary practice location

10401 W Charleston Blvd
Las Vegas, NV 89135-1151

Mailing address

213 N Stephanie St # G249
Henderson, NV 89074-8117
Phone (702) 625-3585

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
I20251006000044 NV Practitioner - Clinical Social Worker 8628574993 Reassigns benefits to 1 organization
Practice locations: Boulder City, NV; Las Vegas, NV; Henderson, NV

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Henderson, NV 89074
Phone (702) 903-0274

10401 W Charleston Blvd
Las Vegas, NV 89135-1151
Phone (702) 207-4242

213 N Stephanie St
G249
Henderson, NV 89074-8117

400 Utah St
Boulder City, NV 89005-2620
Phone (702) 625-3585

500 Westover Dr
Sanford, NC 27330-8941

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10262-CNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Inner Workings Therapy LLC CurrentSince Aug 25, 2025 Accepting new patients
Mental Health Specialty Group PA CurrentSince Oct 1, 2025 Accepting new patients

Locations

213 N Stephanie St
#G249
Henderson, NV 89074

203 S Water St
Ste 206
Henderson, NV 89015

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1310688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1184912842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 N STEPHANIE ST # G249",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890748117",
            "telephone_number": "702-625-3585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10401 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891351151",
            "telephone_number": "702-207-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALVILLO",
        "first_name": "SANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-15",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "10262-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.