Active NPI
Anita M Mendes, LICSW
- Clinical Social Worker
- Peterborough, NH
National Provider Identifier
1912985458
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Feb 20, 2011.
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 464
- Practice address
- 174 Concord Street
160
Peterborough, NH 03458-1222 - Phone
- (603) 525-3454
- Fax
- (603) 525-3454
- NPI assigned
- Jan 5, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 464 | NH | Primary |
Addresses
Primary practice location
174 Concord Street
160
Peterborough, NH 03458-1222
Mailing address
PO Box 212
Hancock, NH 03449-0212
Phone (603) 525-3454
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1040086 | Other | NH | HCVM |
| 412056751 | Other | NH | HARVARD PILG/PACIFICARE |
| 220649741 | Other | NH | UNITED BEHAVIORAL HEALTH |
| 458185 | Other | NH | TUFTS HEALTH CARE |
| 9R0183 | Other | NH | EMPIRE BCBS |
| 1405573Y0NH02 | Other | NH | BLUE CROSS BLUE SHIELD |
| 412056751 | Other | NH | GREAT WEST |
| 463366 | Other | NH | VALUE OPTIONS |
| 477489000 | Other | NH | MEGELLAN |
| 412056751-002 | Other | NH | AETNA |
| 03422476 | Other | NH | TRI-CARE |
| 1040886 | Other | NH | CIGNA BEHAV. HEALTH CARE |
| 213591 | Other | NH | COMPPSYCH |
| 30422476 | Medicaid | NH | |
| 412056751 | Other | NH | UNITED BEHAVIORAL HEALTH |
| 550010007027 | Other | NH | PACIFICARE |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 464 | NH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243296000000",
"number": "1912985458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 212",
"city": "HANCOCK",
"state": "NH",
"postal_code": "034490212",
"telephone_number": "603-525-3454",
"fax_number": "603-525-3454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "174 CONCORD STREET",
"address_2": "160",
"city": "PETERBOROUGH",
"state": "NH",
"postal_code": "034581222",
"telephone_number": "603-525-3454",
"fax_number": "603-525-3454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDES",
"first_name": "ANITA",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-05",
"last_updated": "2009-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NH",
"license": "464",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HCVM",
"identifier": "1040086",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILG/PACIFICARE",
"identifier": "412056751",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "220649741",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH CARE",
"identifier": "458185",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BCBS",
"identifier": "9R0183",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "1405573Y0NH02",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT WEST",
"identifier": "412056751",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "463366",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEGELLAN",
"identifier": "477489000",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "412056751-002",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRI-CARE",
"identifier": "03422476",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEHAV. HEALTH CARE",
"identifier": "1040886",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPPSYCH",
"identifier": "213591",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30422476",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "412056751",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFICARE",
"identifier": "550010007027",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Peterborough, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.