Stephanie Mendelson, LICSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

CP00814139 Issued in WV

Practice address

333 N Jefferson St
Lewisburg, WV 24901-1116

Phone

(304) 645-7503

Fax

(304) 645-7582

NPI assigned

Aug 16, 2006

Last updated

Jul 9, 2008By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Be Well Kinda Place LLC

  • Clinical Social Worker
  • Ronceverte, WV
  • NPI 1740924240
  NPD (past)
• Rhonda L Hamm

  dba Willow Ridge PLLC

  • Psychiatry Physician
  • Lewisburg, WV
  • NPI 1720170335
  NPD (past)
• Think Therapy Speech Service

  dba Think Therapy

  • Speech-Language Pathologist
  • Lewisburg, WV
  • NPI 1104536788
  NPD (past)

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215561600000",
    "number": "1073626172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N JEFFERSON ST",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "249011116",
            "telephone_number": "304-645-7503",
            "fax_number": "304-645-7582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N JEFFERSON ST",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "249011116",
            "telephone_number": "304-645-7503",
            "fax_number": "304-645-7582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDELSON",
        "first_name": "STEPHANIE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2008-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WV",
            "license": "CP00814139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethanie Rose Meadows
• James Freddie Meadows, MASSAGE THERAPIST
• Julian McDonald Meadows Jr., DDS
• Leanna L Meadows
• Michael Julian Meadows, DDS
• John Miller
• Lauren Miller, DO
• Pamela Miller
• Peggy Minear
• Cameron Craig Mitchell

• Social Worker in Lewisburg, WV
• Providers in Lewisburg, WV by specialty
• Social Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.