Individual ProviderBianca Ivette MenaSocial WorkerBehavioral Health & Social Service ProvidersPractice Address2219 N Kenmore Ave, Chicago, IL 60614-3504(773) 325-7780(773) 580-5335PECOS EnrollmentBased on the most recent information from CMS, provider Bianca Ivette Mena does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1285303123Provider TypeIndividualFull NameMena, Bianca IvetteCredentialLCSWGenderFemaleSole ProprietorNoEnumeration Date9/13/2021Last Updated9/13/2021Contact InformationPractice LocationPractice Address2219 N Kenmore Ave, Chicago, IL 60614-3504Phone(773) 325-7780Fax(773) 325-7781Mailing LocationMailing Address5114 S Monitor Ave, Chicago, IL 60638-1518Phone(773) 580-5335FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense149.023227Illinois