Individual provider Active NPI

Earlene Joycelyn Mends

  • Social Worker
  • Norwood, MA
National Provider Identifier
1669812418
Registry record updated Jun 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
216663 Issued in MA
Practice address
190 Lenox St
Norwood, MA 02062-3416
Phone
(781) 769-8674
Fax
(781) 440-0740
NPI assigned
Jun 26, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 216663 MA Primary

Addresses

Primary practice location

190 Lenox St
Norwood, MA 02062-3416

Mailing address

190 Lenox St
Norwood, MA 02062-3416
Phone (781) 769-8674

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

LicenseStateTypeSpecialty
216663MAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372204800000",
    "number": "1669812418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 LENOX ST",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020623416",
            "telephone_number": "781-769-8674",
            "fax_number": "781-440-0740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 LENOX ST",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020623416",
            "telephone_number": "781-769-8674",
            "fax_number": "781-440-0740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDS",
        "first_name": "EARLENE",
        "middle_name": "JOYCELYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-26",
        "last_updated": "2013-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "216663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; 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.