Active NPI
Karla De Leon Mendez
- Clinical Social Worker
- Lugoff, SC
National Provider Identifier
1730096355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 19184
- Practice address
- 40 Baldwin Ave
Lugoff, SC 29078-9406 - Phone
- (803) 438-8000
- NPI assigned
- Aug 27, 2026
- Last updated
- Aug 27, 2026
- Sex
- Unspecified or another gender identity
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 19184 | SC | Primary |
Addresses
Primary practice location
40 Baldwin Ave
Lugoff, SC 29078-9406
Mailing address
1111 Broad St Ste 3D
Camden, SC 29020-3610
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787788800000",
"number": "1730096355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 BROAD ST STE 3D",
"city": "CAMDEN",
"state": "SC",
"postal_code": "290203610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 BALDWIN AVE",
"city": "LUGOFF",
"state": "SC",
"postal_code": "290789406",
"telephone_number": "803-438-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LEON MENDEZ",
"first_name": "KARLA",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2026-08-27",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": "19184",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lugoff, SC
- Sterling J. Connell, DC
- Andrea Cox, M.A., LPC
- Justin M Crawford, APRN
- Elizabeth Creed, EDS, LPC, NCC
- Vicki W Dasho
- Doctors Care SC, PA (Doctors Care Wateree)
- Janaki Lakshmi Emani, M.D.
- Fresenius Medical Care Cna Kidney Centers, LLC (Fresenius Medical Care Lugoff-Elgin)
- Valerie Alison Fritsch, M.D.
- Full Circle Health LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.