Individual provider Active NPI

Andrea Blin

  • Clinical Social Worker
  • North Las Vegas, NV
National Provider Identifier
1477033082
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8882-C Issued in NV
Practice address
6900 N Pecos Rd
North Las Vegas, NV 89086-4400
Phone
(702) 791-9000
NPI assigned
Aug 14, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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 8882-C NV Primary

Addresses

Primary practice location

6900 N Pecos Rd
North Las Vegas, NV 89086-4400

Mailing address

6900 N Pecos Rd
North Las Vegas, NV 89086-4400
Phone (702) 791-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200810003062 NV Practitioner - Clinical Social Worker 0547685364 Reassigns benefits to 3 organizations
I20260224000387 IL Practitioner - Clinical Social Worker 0547685364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BMSC NV LLCGroup PAC ID 0042534182, 10 clinicians

Practice addresses (Care Compare)

8630 W Nevso Dr
Las Vegas, NV 89147-0407
Phone (702) 942-8700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8882-CNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Behavioral Health CurrentSince Jul 29, 2020 Accepting new patients
Vitality Unlimited CurrentSince Jan 13, 2025 Accepting new patients
BMSC NV LLC Clinical CurrentSince Jan 13, 2026 Accepting new patients
Blue Moon Senior Counseling of Illinois LLC Clinical CurrentSince Jan 13, 2026 Accepting new patients
Vitality Unlimited CurrentSince Jan 13, 2025 Accepting new patients
Vitality Unlimited Current Accepting new patients
Vitality Unlimited PastSince Jan 1, 2024 Accepting new patients

Locations

10204 Bode St
Ste B
Plainfield, IL 60585
Phone (630) 229-6462

10204 Bode St
Ste C
Plainfield, IL 60585
Phone (630) 844-7077

900 E Long St
Ste 201
Carson City, NV 89706
Phone (725) 461-0025

119 E Long St
Carson City, NV 89706
Phone (775) 461-0025

120 Pike St
Dayton, NV 89403
Phone (775) 241-9440

3740 E Idaho St
Elko, NV 89801
Phone (775) 738-8004

215 Bluffs Ave
Ste 200
Elko, NV 89801
Phone (775) 738-2925

2775 S Jones Blvd
Ste 101
Las Vegas, NV 89146
Phone (702) 685-3300

4055 Spencer St
Ste 118
Las Vegas, NV 89119
Phone (702) 218-6496

1135 Terminal Way
Ste 112
Reno, NV 89502
Phone (775) 322-3668

Organizations & group practices 7

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": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1477033082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 N PECOS RD",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890864400",
            "telephone_number": "702-791-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 N PECOS RD",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890864400",
            "telephone_number": "702-791-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLIN",
        "first_name": "ANDREA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-14",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "8882-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.