Jacqueline K Mendoza in Baton Rouge - Clinical
Jacqueline K Mendoza - NPI 1417013574
Jacqueline K Mendoza is a Clinical in Baton Rouge, Louisiana. Jacqueline K Mendoza practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jacqueline K Mendoza is 1417013574. The last update date is 2012-01-04.
Jacqueline K Mendoza's current location address is 1030 S Eugene St, Baton Rouge, Louisiana. You can contact this provider via phone number 2259319981. The mailing address for Jacqueline K Mendoza is 1030 S Eugene St, Baton Rouge, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacqueline K Mendoza |
|---|---|
| Address | 1030 S Eugene St, Baton Rouge, Louisiana |
| Phone Number | 2259319981 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW, ACSW |
NPI Number Detail
| NPI Number | 1417013574 |
|---|---|
| Provider Enumeration Date | 2006-12-30 |
| Last Updated Date | 2012-01-04 |
Provider Mailing Address Detail
| Address | 1030 S Eugene St |
|---|---|
| City | Baton Rouge |
| State | Louisiana (LA) |
| Post Code | 708065478 |
| Phone Number | 2259319981 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 32084 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2195773 | TX | FIRST HEALTH NETWORK | |
| 258450000 | TX | MAGELLAN HEALTH SERVICES | |
| 0079KX | TX | BLUE CROSS BLUE SHIELD | |
| 2230312 | TX | CIGNA | |
| 309302 | TX | MHN |
Post Comment/ Review Below
What is the unique identifier code issued to Jacqueline K Mendoza by the Centers for Medicare & Medicaid Services?
The Jacqueline K Mendoza has been assigned the NPI (National Provider Identifier) 1417013574. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Jacqueline K Mendoza is physically located?
The Jacqueline K Mendoza is situated at the following address: 1030 S Eugene St, Baton Rouge, LA 708065478.
What is the Jacqueline K Mendoza's specialty and taxonomy code?
The Jacqueline K Mendoza's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1417013574 to Jacqueline K Mendoza?
The Centers for Medicare & Medicaid Services originally issued the 1417013574 to Jacqueline K Mendoza on 2006-12-30.
When was the Jacqueline K Mendoza's information last updated?
The Jacqueline K Mendoza's information was last updated on 2012-01-04.
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