James Scott Mennenga, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149014441 Issued in IL

Practice address

935 Wisconsin Ave
Oak Park, IL 60304-1816

Phone

(773) 213-2833

NPI assigned

Oct 3, 2018

Sex

Male

Sole proprietor

Yes

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)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: jmennenga153473@uchospital.direct-ci.com

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

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1558836791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 WISCONSIN AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603041816",
            "telephone_number": "773-213-2833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 WISCONSIN AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603041816",
            "telephone_number": "773-213-2833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENNENGA",
        "first_name": "JAMES",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-03",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149014441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Calvin Thomas Meineke, MD
• Jesse Mejorada, CP
• Desiree Mendez
• Steven David Mendez
• Sheila Idalis Mendoza
• Siva Kumar Menon, PT
• Mercado Center for Foot & Ankle Surgery
• Mercado Foot Clinic LTD
• Rhea Suhel Merchant, PA-C
• Sydney Catherine Mesker

• Clinical Social Worker in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; 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.