MEDICARE: ANDREA K VENDEIRO LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	101YP2500X	Professional Counselor
3	104100000X	Social Worker

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083936645
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREA K VENDEIRO LCSW

Provider Business Mailing Address
First Line	:	1742 PANDORA DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-1412
Country	:	US
Telephone Number	:	702-439-3215
Fax Number	:

Provider Business Practice Location Address
First Line	:	714 E SAHARA AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-2942
Country	:	US
Telephone Number	:	702-369-8700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/24/2010
Last Update Date	:	07/24/2025

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