Samedi Mendick

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

7273 14TH Ave
Suite 120-B
Sacramento, CA 95820-3500

Phone

(916) 383-6784

Fax

(916) 383-8488

NPI assigned

Aug 19, 2011

Last updated

Oct 16, 2024By the provider in NPPES

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

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

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1205116316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 581943",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957580033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7273 14TH AVE",
            "address_2": "SUITE 120-B",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958203500",
            "telephone_number": "916-383-6784",
            "fax_number": "916-383-8488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDICK",
        "first_name": "SAMEDI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-19",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "The Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "1305 Tommydon St",
            "city": "Stockton",
            "state": "CA",
            "country_code": "US",
            "postal_code": "952103364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Maricela Mendez
• Sarahi Mendez
• Shanttelle Mendez
• Susan Mendez, PSY.D.
• Trisha Ann Mendez, MA
• Karen Ariana Mendieta
• Mending Hearts Mending Minds Inc
• Mending Minds Mending Hearts
• Christine Mendiola
• Maria Yesenia Mendiola

• Clinical Social Worker in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.