Elizabeth Soucy Mendes, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

008462 Issued in CT

Practice address

54 North St
Willimantic, CT 06226-2528

Phone

(860) 450-0151

Fax

(860) 450-7152

NPI assigned

Jul 17, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/perceptionprograms/r4/

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

• Nafi Connecticut Inc.

  • Clinic/Center
  • Hartford, CT
  • NPI 1619258449
  NPD (past)
• Perception Programs Inc

  • Substance Abuse Rehabilitation Facility
  • Willimantic, CT
  • NPI 1568530319
  NPD (past)

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385510400000",
    "number": "1083813133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 PATRIOT RD",
            "city": "WINDHAM",
            "state": "CT",
            "postal_code": "062801424",
            "telephone_number": "860-208-6681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 NORTH ST",
            "city": "WILLIMANTIC",
            "state": "CT",
            "postal_code": "062262528",
            "telephone_number": "860-450-0151",
            "fax_number": "860-450-7152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDES",
        "first_name": "ELIZABETH",
        "middle_name": "SOUCY",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-17",
        "last_updated": "2013-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "008462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walter Thomas McPhee Jr., MD
• McSweeney Regional Senior Center
• Meaningful Medical PC
• Med East Associates LLC
• Jennifer Mendes-Hramiak, LCSW
• Kalawattie Merise
• Alyssa Catherine Metzger, LMFT
• Anabel Meza Juarez, LMSW
• Michael Scanlon
• Emma Milikowski, LPC

• Clinical Social Worker in Willimantic, CT
• Providers in Willimantic, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.