Active NPI
Andrea Aguilar, LCSW
- Clinical Social Worker
- Gardena, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 87635
- Practice address
- 14112 S Kingsley Dr
Gardena, CA 90249-3018 - Phone
- (310) 217-7312
- NPI assigned
- Jun 3, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 87635 | CA | Primary |
Addresses
Primary practice location
14112 S Kingsley Dr
Gardena, CA 90249-3018
Mailing address
2860 E Flamingo Rd Ste D
Las Vegas, NV 89121-5270
Phone (702) 202-0291
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2121 E Flamingo Rd
Suite 108
Las Vegas, NV 89119-5123
Phone (702) 405-6106
2500 W Sahara Ave
Suite 107
Las Vegas, NV 89102-4367
Phone (702) 291-8798
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joyful Minds Behavioral Therapy LLC | Current | Accepting new patients | |
| Beryl Behavioral LLC | Current | Accepting new patients | |
| Individualized Mindful Solutions LLC | Current | Accepting new patients | |
| Best Choice Health Partners | Current | Accepting new patients | |
| Ims Behavioral Health LLC | Past | Accepting new patients |
Locations
2310 Paseo del Prado
Ste A109
Las Vegas, NV 89102
Phone (323) 203-7694
5693 S Jones Blvd
Ste 118
Las Vegas, NV 89118
Phone (702) 772-4104
1681 E Flamingo Rd
Ste 3
Las Vegas, NV 89119
Phone (702) 291-8798
2121 E Flamingo Rd
Ste 108
Las Vegas, NV 89119
Phone (702) 405-6106
Organizations & group practices 5
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.
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- NPI 1942920228
-
- Community/Behavioral Health Agency
- Las Vegas, NV
- NPI 1669245239
-
- Community/Behavioral Health Agency
- Las Vegas, NV
- NPI 1558103531
-
- Community/Behavioral Health Agency
- Las Vegas, NV
- NPI 1649011438
-
- Community Health Clinic/Center
- Las Vegas, NV
- NPI 1689233579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615507200000",
"number": "1447609169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2860 E FLAMINGO RD STE D",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891215270",
"telephone_number": "702-202-0291",
"fax_number": "702-444-7982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14112 S KINGSLEY DR",
"city": "GARDENA",
"state": "CA",
"postal_code": "902493018",
"telephone_number": "310-217-7312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGUILAR",
"first_name": "ANDREA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-03",
"last_updated": "2021-03-12",
"certification_date": "2021-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "87635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gardena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.