Judith Mendenhall, MSW, Licsw, PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

LW00005376 Issued in WA

Legal business name

JUDITH MENDENHALL, MSW, LICSW, PLLC

Practice address

470 Front St N
Issaquah, WA 98027-2914

Phone

(206) 300-5008

Fax

(425) 881-6707

NPI assigned

Feb 11, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Judith Mendenhall, MSW, LICSW, PLLC

Title

Owner and Managaer

Phone

(206) 300-5008

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234310400000",
    "number": "1245479518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 FRONT ST N",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272914",
            "telephone_number": "206-300-5008",
            "fax_number": "425-881-6707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 FRONT ST N",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272914",
            "telephone_number": "206-300-5008",
            "fax_number": "425-881-6707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDITH MENDENHALL, MSW, LICSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-11",
        "last_updated": "2009-02-11",
        "status": "A",
        "authorized_official_last_name": "MENDENHALL",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "OWNER AND MANAGAER",
        "authorized_official_telephone_number": "206-300-5008",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LICSW, PLLC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "WA",
            "license": "LW00005376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Jones, A.R.N.P.
• Robert Eric Jorgensen, DDS
• Nicole R R Josephsen, MA
• Ju Yon Sophie Yi, MD, DDS, PLLC
• Jennifer An-Jeng Juang, O.D.
• Julie P. Franke, Licsw, PLLC
• Jhansi Juluri
• JWSC PLLC
• Tarja Kaakko
• Krystal Kaald, L.M.P.

• Adult Mental Health Clinic/Center in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Adult Mental Health Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; 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.