Luis Mendez, LCSW, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

007425 Issued in CT

Legal business name

LUIS MENDEZ, LCSW, LLC

Practice address

175 Addison Rd Ste 104
Windsor, CT 06095-2178

Phone

(860) 513-2327

NPI assigned

Feb 2, 2016

Organization subpart

No

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

Authorized official

Name

Luis Mendez, LCSWNPI 1164615068

Title

Licensed Clinical Social Worker

Phone

(860) 513-2327

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Luis Mendez, LCSW

  • Clinical Social Worker
  • Windsor, CT
  • NPI 1164615068
  NPD Authorized official

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1487012696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 ADDISON RD STE 104",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060952178",
            "telephone_number": "860-513-2327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 ADDISON RD STE 104",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060952178",
            "telephone_number": "860-513-2327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIS MENDEZ, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-02",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "MENDEZ",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "860-513-2327",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "007425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Windsor, CT
• Providers in Windsor, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.