Lucinda Noemi Mendoza

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

98547 Issued in CA

Practice address

1612 1St St
Coachella, CA 92236-1407

Phone

(760) 398-9000

Fax

(760) 398-9790

NPI assigned

Nov 6, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1336329416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2295 BIDWELL LN",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925835829",
            "telephone_number": "951-858-9973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 1ST ST",
            "city": "COACHELLA",
            "state": "CA",
            "postal_code": "922361407",
            "telephone_number": "760-398-9000",
            "fax_number": "760-398-9790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2295 Bidwell Ln",
            "address_purpose": "LOCATION",
            "city": "San Jacinto",
            "state": "CA",
            "postal_code": "925835829",
            "country_code": "US",
            "telephone_number": "951-858-9973",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6711 Arlington Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925041966",
            "country_code": "US",
            "telephone_number": "951-352-3943",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "LUCINDA",
        "middle_name": "NOEMI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-06",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "98547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebekah Ruth McCammon, MA, APCC
• Dennis Shawn McQuown, M.D.
• Misty Jo Mejia, CADCII
• Maria Luisa Mendez
• Carmen Isabel Mendoza
• Stephen Benjamin Merritt
• Midnight Non Emergency Medical Transportation
• Erika Miramontes
• Sally Mireles, RADT
• Maureen Paula Misuraca, AMFT, APCC

• Clinical Social Worker in Coachella, CA
• Providers in Coachella, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.