Look up the most recent NPI and PECOS records

Luis Mendez

Social Worker

Behavioral Health & Social Service Providers

175 Addison Rd Ste 104, Windsor, CT 06095-2178

PECOS Enrollment

Based on the most recent information from CMS, provider Luis Mendez is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1164615068
Provider Type
Individual
Full Name
Mendez, Luis
Credential
LCSW

Gender
Male
Sole Proprietor
No
Enumeration Date
8/23/2007
Last Updated
10/17/2024

Contact Information

Practice Location

175 Addison Rd Ste 104, Windsor, CT 06095-2178

(860) 513-2327

Unlisted Fax

Mailing Location

175 Addison Rd Ste 104, Windsor, CT 06095-2178

(860) 513-2327

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 007425 Connecticut

Provider Identifiers

ID	Description	Issuer
ID 004236338	Description Medicaid	Issuer Unlisted Connecticut

Luis Mendez

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Pmh Ct Pc

Toce, Erik Anthony

Johnson, Carolyn Danielle

Caldwell, Paulette D.

Lewis, Jennifer Ann

Eckstein, John

Smith, Elizabeth Kraimer

Lawless, Virginia

Inniss, Samantha Jessica

Mayweather-Banks, Nichole