Active NPI
Miriam C Mendez, LCSW
- Social Worker
- Freeport, NY
National Provider Identifier
1417159112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- R0415981
- Practice address
- 333 N Main St
Freeport, NY 11520-1231 - Phone
- (516) 551-8908
- NPI assigned
- Jun 4, 2007
- Last updated
- Sep 29, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | R0415981 | NY | Primary |
Addresses
Primary practice location
333 N Main St
Freeport, NY 11520-1231
Mailing address
25 Neptune Blvd
9F
Long Beach, NY 11561
Phone (516) 889-8673
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0415981 | NY | MD | Social Worker |
| 041598 | NY | MD | Physical Therapist |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1417159112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 NEPTUNE BLVD",
"address_2": "9F",
"city": "LONG BEACH",
"state": "NY",
"postal_code": "11561",
"telephone_number": "516-889-8673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 N MAIN ST",
"city": "FREEPORT",
"state": "NY",
"postal_code": "115201231",
"telephone_number": "516-551-8908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDEZ",
"first_name": "MIRIAM",
"middle_name": "C",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-04",
"last_updated": "2026-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "R0415981",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Freeport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.