Individual provider Active NPI

Ari Mendez, LCSW

  • Clinical Social Worker
  • Saint George, UT
National Provider Identifier
1134219892
Registry record updated Aug 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
266415-3501 Issued in UT
Practice address
25 N 100 E
Ste 102
Saint George, UT 84770-7369
Phone
(435) 986-2565
Fax
(435) 986-8700
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2018

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 266415-3501 UT Primary

Addresses

Primary practice location

25 N 100 E
Ste 102
Saint George, UT 84770-7369

Mailing address

25 N 100 E
Ste 102
Saint George, UT 84770-7369
Phone (435) 986-2565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070205000262 UT Practitioner - Clinical Social Worker 4587666508 Practice locations: St George, UT
I20210426002647 AZ Practitioner - Clinical Social Worker 4587666508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Creek Valley Health ClinicGroup PAC ID 0042542706, 12 clinicians

Practice addresses (Care Compare)

20 S Colvin St
Colorado City, AZ 86021-0418
Phone (801) 793-0143

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Creek Valley Health Clinic CurrentSince Apr 1, 2021 Accepting new patients
Evolving Light Counseling LLC Past Accepting new patients

Locations

32 E 100 S
Ste 202
St George, UT 84770
Phone (435) 222-9022

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IGHIBD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533513600000",
    "number": "1134219892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 N 100 E",
            "address_2": "STE 102",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847707369",
            "telephone_number": "435-986-2565",
            "fax_number": "435-986-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 N 100 E",
            "address_2": "STE 102",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847707369",
            "telephone_number": "435-986-2565",
            "fax_number": "435-986-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "ARI",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2018-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "266415-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint George, UT

Sources for this page

Verify at the official NPI Registry.