Individual provider Active NPI

Janet G Mendell, LCSW

  • Clinical Social Worker
  • Ukiah, CA
National Provider Identifier
1013057462
Registry record updated Aug 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 24089 Issued in CA
Practice address
514 S School St
Ukiah, CA 95482-5438
Phone
(707) 272-4531
Fax
(707) 462-3253
NPI assigned
Feb 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS 24089 CA Primary

Addresses

Primary practice location

514 S School St
Ukiah, CA 95482-5438

Mailing address

PO Box 7
Ukiah, CA 95482-0007
Phone (707) 272-4531

Other names 1

  • Janet G Bertsch Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20150323001258 CA Practitioner - Clinical Social Worker 1456678994 Practice locations: Ukiah, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

514 S School St
Ukiah, CA 95482-5438
Phone (707) 272-4531

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS 24089CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249257600000",
    "number": "1013057462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954820007",
            "telephone_number": "707-272-4531",
            "fax_number": "707-462-3253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 S SCHOOL ST",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954825438",
            "telephone_number": "707-272-4531",
            "fax_number": "707-462-3253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDELL",
        "first_name": "JANET",
        "middle_name": "G",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2009-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 24089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANET",
            "last_name": "BERTSCH",
            "middle_name": "G",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ukiah, CA

Sources for this page

Verify at the official NPI Registry.