Individual provider Active NPI

Andrea Aguilar, LCSW

  • Clinical Social Worker
  • Gardena, CA
National Provider Identifier
1447609169
Registry record updated Mar 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
87635 Issued in CA
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

Updated by the provider on Mar 12, 2021

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191010001260 NV Practitioner - Clinical Social Worker 5799025029 Reassigns benefits to 3 organizations

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
Best Choice Health PartnersGroup PAC ID 4587031323, 2 clinicians
Individualized Mindful Solutions LLCGroup PAC ID 7618318684, 2 clinicians

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

OrganizationSpecialtyStatusNew patients
Joyful Minds Behavioral Therapy LLC CurrentSince Jul 1, 2024 Accepting new patients
Beryl Behavioral LLC CurrentSince Jul 1, 2024 Accepting new patients
Individualized Mindful Solutions LLC CurrentSince Mar 16, 2024 Accepting new patients
Best Choice Health Partners CurrentSince Feb 1, 2023 Accepting new patients
Ims Behavioral Health LLC PastSince Sep 1, 2019 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.

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

Verify at the official NPI Registry.