Individual provider Active NPI

Yasel Mendoza Patterson

  • Clinical Social Worker
  • Tucson, AZ
National Provider Identifier
1205762226
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-23858 Issued in AZ
Practice address
4567 W Tetakusim Rd
Tucson, AZ 85746-9713
Phone
(520) 879-6060
NPI assigned
Jun 18, 2026
Last updated
Jun 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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 LCSW-23858 AZ Primary

Addresses

Primary practice location

4567 W Tetakusim Rd
Tucson, AZ 85746-9713

Mailing address

6408 E Star Mica St
Tucson, AZ 85756-8330
Phone (520) 808-9274

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1781740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1205762226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6408 E STAR MICA ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857568330",
            "telephone_number": "520-808-9274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4567 W TETAKUSIM RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857469713",
            "telephone_number": "520-879-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA PATTERSON",
        "first_name": "YASEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-06-18",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-23858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.