Individual provider Active NPI

Alexis Sandoval, LCSW

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1245523836
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9299-C Issued in NV
Practice address
2881 S Valley View Blvd Ste 1
Las Vegas, NV 89102-0145
Phone
(702) 922-7015
NPI assigned
May 16, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X BBH-LCSW-LIC-38823 MT
Clinical Social Worker 1041C0700X 9299-C NV Primary

Addresses

Primary practice location

2881 S Valley View Blvd Ste 1
Las Vegas, NV 89102-0145

Mailing address

7925 Millhopper Ave
Las Vegas, NV 89128-6706
Phone (406) 223-3904

Other practice location 1

732 S 6th St Ste N
Las Vegas, NV 89101-6948
Phone (702) 323-6024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20200113000330 MT Practitioner - Clinical Social Worker 6800221276

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BBH-LCSW-LIC-38823MTMDClinical Social Worker
9299-CNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Montana Medical Solutions PLLC PastSince Aug 1, 2019 Accepting new patients
Roots & Resilience PastSince Jan 5, 2025 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1245523836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7925 MILLHOPPER AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891286706",
            "telephone_number": "406-223-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2881 S VALLEY VIEW BLVD STE 1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891020145",
            "telephone_number": "702-922-7015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "732 S 6th St Ste N",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891016948",
            "country_code": "US",
            "telephone_number": "702-323-6024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "ALEXIS",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-16",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-LCSW-LIC-38823",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "9299-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.