Christian Lili Valladares Mendoza, SC61510017

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SC61510017 Issued in WA

Practice address

1313 N Young St Ste E
Kennewick, WA 99336-7662

Phone

(509) 378-0214

NPI assigned

Dec 4, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1225805948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 N YOUNG ST STE E",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367662",
            "telephone_number": "509-378-0214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 N YOUNG ST STE E",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367662",
            "telephone_number": "509-378-0214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLADARES MENDOZA",
        "first_name": "CHRISTIAN",
        "middle_name": "LILI",
        "credential": "SC61510017",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC61510017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Yulisa Valencia
• Javier Valencia
• Miguel Valencia
• Monica Valencia, LMHC
• Ninfa A Valenzuela, CDPT
• Kiran Kumar Vallam, M.D.
• Sully Valle
• Krista Layne Van Nostern, PHARMD
• Kevin Jeffrey Van Vleet, P.T.
• David Van-Thai, MD

• Clinical Social Worker in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.