Andrea Ikeda, LSW, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7351-S Issued in NV

Practice address

10155 W Twain Ave Ste 110
Las Vegas, NV 89147-6723

Phone

(702) 791-1400

Fax

(702) 850-2820

NPI assigned

Mar 3, 2021

Last updated

Oct 14, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1548855364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10155 W TWAIN AVE STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891476723",
            "telephone_number": "702-848-5644",
            "fax_number": "702-848-5415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10155 W TWAIN AVE STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891476723",
            "telephone_number": "702-791-1400",
            "fax_number": "702-850-2820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10155 W Twain Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891476723",
            "country_code": "US",
            "telephone_number": "702-791-1400",
            "fax_number": "702-850-2820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IKEDA",
        "first_name": "ANDREA",
        "credential": "LSW, MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-03",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NV",
            "license": "7351-S",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "7351-S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LSW",
            "identifier": "7351-S",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "WWW.GOOGLE.COM",
            "affiliation": "N",
            "endpointDescription": "OFFICE",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10155 W Twain Ave Ste 100",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891476723",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.google.com",
            "affiliation": "N",
            "endpointDescription": "Office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10155 W Twain Ave Ste 110",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891476723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Thomas Takatomo Bishop Iida
• Jaymz Ike
• Stella Ikeadighi
• Kanoa Daniel Ikeda-Flynn
• Alan K Ikeda, MD
• Aya Ikeda, CADC
• Laura Ikeh
• Obinna Ikerionwu, RN
• Austin Ikpeama
• Aaleah Ilaban

• Clinical Social Worker in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.