Christopher Allen Mendiguren, LCSW

Individual provider Active NPI Clinical Social Worker · Elsmere, KY

NPI 1972040913 · NPPES record last updated Jun 9, 2026

Key facts

NPI
1972040913
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
LCSW00001603 (KY)
Practice address
4135 Dixie Hwy
Elsmere, KY 41018-1815
Phone
(833) 510-4357
NPI assigned
Jan 29, 2017
Sex
Male
Sole proprietor
Yes

Medicare Care Compare profile

Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4600 Montgomery Rd
Suite 400
Cincinnati, OH 45212-2140

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
S.1500068OHMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW00001603 KY Yes
Social Worker 104100000X I.1901604-SUPV OH

Addresses

Primary practice location

4135 Dixie Hwy
Elsmere, KY 41018-1815

Mailing address

4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600

Other providers in Elsmere, KY

All providers in Elsmere, KY · Clinical Social Worker in Kentucky

Sources for this page

Verify at the official NPI Registry.