Gina Mendez a Licensed Clinical Social Worker P.C.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

GINA MENDEZ A LICENSED CLINICAL SOCIAL WORKER P.C.

Practice address

31045 Temecula Pkwy Ste 115
Temecula, CA 92592-3085

Phone

(951) 963-7445

NPI assigned

Feb 18, 2020

Organization subpart

No

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

Authorized official

Name

Gina Mendez

Title

LCSW

Phone

(951) 855-4967

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699920000000",
    "number": "1740813799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31045 TEMECULA PKWY",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925923085",
            "telephone_number": "951-963-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31045 TEMECULA PKWY STE 115",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925923085",
            "telephone_number": "951-963-7445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31045 Temecula Pkwy Ste 115",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "925923085",
            "country_code": "US",
            "telephone_number": "951-963-7445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GINA MENDEZ A LICENSED CLINICAL SOCIAL WORKER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-18",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A",
        "authorized_official_last_name": "MENDEZ",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "951-855-4967"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandeep Gill, DO
• Leon Anthony Gilligan-Steinberg
• Amy Renee Gilman, RBT
• Laura Gilroy, LCSW
• Victoria Gimeno
• Arlenne Ginesta, MD
• Paula Gingles
• Elisia-Renee Saucedo Ginn
• Giovanni Venittelli OD Inc
• Luzero Gipson

• Clinical Social Worker in Temecula, CA
• Providers in Temecula, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.

Verify at the official NPI Registry.