Active NPI
Andrea Blin
- Clinical Social Worker
- North Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 8882-C
- 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
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 | 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, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8882-C | NV | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Desert Behavioral Health | Current | Accepting new patients | |
| Vitality Unlimited | Current | Accepting new patients | |
| BMSC NV LLC | Clinical | Current | Accepting new patients |
| Blue Moon Senior Counseling of Illinois LLC | Clinical | Current | Accepting new patients |
| Vitality Unlimited | Current | Accepting new patients | |
| Vitality Unlimited | Current | Accepting new patients | |
| Vitality Unlimited | Past | 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.
-
- Clinical Social Worker
- Las Vegas, NV
- NPI 1245648419
-
- Community/Behavioral Health Agency
- Las Vegas, NV
- NPI 1467785527
-
- Substance Abuse Rehabilitation Facility
- Carson City, NV
- NPI 1629540380
-
- Clinical Social Worker
- Plainfield, IL
- NPI 1841562931
-
- Community/Behavioral Health Agency
- Dayton, NV
- NPI 1255032249
-
- Substance Abuse Rehabilitation Facility
- Elko, NV
- NPI 1376624494
-
- Community/Behavioral Health Agency
- Reno, NV
- NPI 1942071683
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.