Individual provider Active NPI

Marilyn Johanna Mendez, MSW, LCSW

  • Clinical Social Worker
  • Littleton, CO
National Provider Identifier
1215686829
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09928121 Issued in CO
Practice address
5554 S Prince St
Littleton, CO 80120-1149
Phone
(303) 730-8858
NPI assigned
Mar 21, 2022
Last updated
Jul 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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 CSW.09928121 CO Primary

Addresses

Primary practice location

5554 S Prince St
Littleton, CO 80120-1149

Mailing address

1870 W 122ND Ave Ste 100
Westminster, CO 80234-2075
Phone (303) 853-3500

Other practice location 1

8931 Huron St
Thornton, CO 80260-6806
Phone (303) 853-3500 ext. 4274

Other names 1

  • Johanna Mendez Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220405000050 CO Practitioner - Clinical Social Worker 1052707882 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arapahoe Mental Health Center IncGroup PAC ID 7315850708, 126 clinicians

Practice addresses (Care Compare)

5554 S Prince St
Littleton, CO 80120-1126
Phone (303) 730-8858

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW.09928121COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Reach Center, Inc CurrentSince Mar 14, 2022 Accepting new patients
Arapahoe Mental Health Center, Inc CurrentSince Aug 5, 2024 Accepting new patients
Arapahoe Mental Health Center, Inc Current Accepting new patients
Arapahoe Mental Health Center, Inc CurrentSince Aug 5, 2024 Accepting new patients
Community Reach Center, Inc CurrentSince Mar 14, 2022 Accepting new patients

Locations

1850 E Egbert St
Fl 2
Brighton, CO 80601

116 Inverness Dr E
Ste 105
Englewood, CO 80112
Phone (720) 238-4030

5524 S Prince St
Littleton, CO 80120
Phone (303) 730-0797

5554 S Prince St
Littleton, CO 80120
Phone (720) 427-5707

8931 Huron St
Thornton, CO 80260
Phone (303) 853-3433

1870 W 122nd Ave
Ste 100
Westminster, CO 80234
Phone (303) 287-7270

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1215686829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1870 W 122ND AVE STE 100",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802342075",
            "telephone_number": "303-853-3500",
            "fax_number": "303-853-3702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5554 S PRINCE ST",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801201149",
            "telephone_number": "303-730-8858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8931 Huron St",
            "address_purpose": "LOCATION",
            "city": "Thornton",
            "state": "CO",
            "postal_code": "802606806",
            "country_code": "US",
            "telephone_number": "303-853-3500 x4274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "MARILYN",
        "middle_name": "JOHANNA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-21",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09928121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHANNA",
            "last_name": "MENDEZ",
            "credential": "MSW, LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.