Constance Brooke Menegaux, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

084164 Issued in NY

Practice address

301 Cayuga Rd
Suite 200
Cheektowaga, NY 14225-1950

Phone

(716) 819-3420

Fax

(716) 819-3430

NPI assigned

Mar 9, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1003139783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 FOREST AVE.",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142131298",
            "telephone_number": "716-816-2445",
            "fax_number": "716-816-2537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 CAYUGA RD",
            "address_2": "SUITE 200",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142251950",
            "telephone_number": "716-819-3420",
            "fax_number": "716-819-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENEGAUX",
        "first_name": "CONSTANCE",
        "middle_name": "BROOKE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-09",
        "last_updated": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "064830-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "064830-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "084164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medlab Inc
• Jacinda Mekus, LMSW
• Linda Mekus, LPN
• Kyle Melito, PT, DPT
• Dorette Melville, LPN
• Eileen N Menegay, COTA
• Melissa Gabriella Mercado, MHC
• Derek Johann Mergenthaler
• Angela Merrill, LPN
• Matthew Michael Mesi, RPH

• Clinical Social Worker in Cheektowaga, NY
• Providers in Cheektowaga, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.