Active NPI
Caleb Efrain Nunez Mendez, CLINIC SOCIAL WORKER
- Counselor
- Springfield, MA
National Provider Identifier
1205502085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 120 Maple St Ste 304
Springfield, MA 01103-2216 - Phone
- (413) 540-1234
- NPI assigned
- Aug 20, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 14692 | PR | |
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
120 Maple St Ste 304
Springfield, MA 01103-2216
Mailing address
PO Box 1724
Cidra, PR 00739-1724
Phone (939) 400-1065
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14692 | PR | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733270400000",
"number": "1205502085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1724",
"city": "CIDRA",
"state": "PR",
"postal_code": "007391724",
"telephone_number": "939-400-1065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 MAPLE ST STE 304",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011032216",
"telephone_number": "413-540-1234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUNEZ MENDEZ",
"first_name": "CALEB",
"middle_name": "EFRAIN",
"credential": "CLINIC SOCIAL WORKER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-08-20",
"last_updated": "2024-12-04",
"certification_date": "2024-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "PR",
"license": "14692",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.