Active NPI
Yuri G Mendoza
- Social Worker
- Hobbs, NM
National Provider Identifier
1629490560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SWB-2023-0018
- Practice address
- 315 E Clinton St
Hobbs, NM 88240-8238 - Phone
- (575) 393-0755
- NPI assigned
- Jan 13, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Social Worker | 104100000X | SWB-2023-0018 | NM | Primary |
Addresses
Primary practice location
315 E Clinton St
Hobbs, NM 88240-8238
Mailing address
315 E Clinton St
Hobbs, NM 88240-8238
Phone (575) 393-0755
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SWB-2023-0018 | NM | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685059200000",
"number": "1629490560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 E CLINTON ST",
"city": "HOBBS",
"state": "NM",
"postal_code": "882408238",
"telephone_number": "575-393-0755",
"fax_number": "575-397-4659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 E CLINTON ST",
"city": "HOBBS",
"state": "NM",
"postal_code": "882408238",
"telephone_number": "575-393-0755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDOZA",
"first_name": "YURI",
"middle_name": "G",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-13",
"last_updated": "2023-05-26",
"certification_date": "2023-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NM",
"license": "SWB-2023-0018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hobbs, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.