Melissa Marie Mendoza, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

M-09507 Issued in NM

Practice address

15 Paseo de San Antonio
Santa Fe, NM 87507-3746

Phone

(505) 231-8578

NPI assigned

Jun 11, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Collective Support Solutions, LLC

  • Specialist
  • Santa Fe, NM
  • NPI 1780385849

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1134788334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 PASEO DE SAN ANTONIO",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875073746",
            "telephone_number": "505-231-8578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 PASEO DE SAN ANTONIO",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875073746",
            "telephone_number": "505-231-8578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-11",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "M-09507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ladymmm77@gmail.com",
            "affiliation": "N",
            "address_1": "15 Paseo De San Antonio",
            "city": "Santa Fe",
            "state": "NM",
            "country_code": "US",
            "postal_code": "875073746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mark W Menard, PT
• Christian Mendez, BMS
• Deja Nicole Mendez
• David Mendoza Andujo
• Marisol Mendoza
• Nora A Mendoza
• Norma Aracely Mendoza
• Pedro Mendoza
• Menm, LLC
• Maryam Meratee, M.D.

• Clinical Social Worker in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.