Gerald Ulysses Menoche, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW00142 Issued in RI

Practice address

605 Lincoln St
Worcester, MA 01605-1901

Phone

(508) 856-0104

Fax

(857) 203-4600

NPI assigned

Jan 20, 2009

Last updated

Oct 22, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: geraldmenoche@tdh.allscriptsdirect.net

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.

• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Clinical

  NPD

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

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1114164738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 AMANDA CT",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304616945",
            "telephone_number": "401-309-8513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 LINCOLN ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016051901",
            "telephone_number": "508-856-0104",
            "fax_number": "857-203-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENOCHE",
        "first_name": "GERALD",
        "middle_name": "ULYSSES",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-20",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW007175",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW00142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edgar E Mendoza, D.M.D.
• Alyssa Rocio Menendez, FNP-C
• Mercedes Elvira Menendez, M.D.
• Menj Therapeutic Services, LLC
• Stephany Menjivar
• Kwadwo Mensa
• Augustine Amoako Mensah, MSN, APRN, PMHNP-BC
• Chelsea A Mensah
• Christine Mensah
• Danielle Mensah

• Clinical Social Worker in Worcester, MA
• Providers in Worcester, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; 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.