Provider Demographics
NPI:1831481795
Name:CALL, ANDREA S (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:S
Last Name:CALL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4571 VELVET CREST LN
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89139-8725
Mailing Address - Country:US
Mailing Address - Phone:702-338-3617
Mailing Address - Fax:702-380-6925
Practice Address - Street 1:9140 W POST RD
Practice Address - Street 2:SUITE 100
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-2435
Practice Address - Country:US
Practice Address - Phone:702-251-8000
Practice Address - Fax:702-380-6925
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-11
Last Update Date:2012-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV5784-S104100000X
NV6340-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker