National Provider Identifier

Michelle Susan Mendez, LMSW

Michelle Susan Mendez, LMSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Watkins Glen, NY and a listed phone number of (607) 535-8282.

NPI 1740516095Watkins Glen, NYClinical Social Worker

Profile Overview

NPI
1740516095
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
October 21, 2009
Last Updated
December 16, 2009

Practice Location

  • 106 S Perry St
  • Ste 4
  • Watkins Glen, NY 14891-1615

Phone: (607) 535-8282

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1740516095
Entity Type
Individual
Last Name
Mendez
First Name
Michelle
Middle Name
Susan
Credential
LMSW
Mailing Street Address
106 S Perry St
Mailing Address Line 2
Ste 4
Mailing City
Watkins Glen
Mailing State
NY
Mailing ZIP Code
14891-1615
Mailing Country
US
Mailing Phone
(607) 535-8282
Practice Street Address
106 S Perry St
Practice Address Line 2
Ste 4
Practice City
Watkins Glen
Practice State
NY
Practice ZIP Code
14891-1615
Practice Country
US
Practice Phone
(607) 535-8282
Enumeration Date
October 21, 2009
Last Updated
December 16, 2009
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)
Other Identifiers
P73297 (NY)