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Luis Mendez, Lcsw, Llc

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, Lcsw, Llc does not have current enrollment records in PECOS.

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

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1487012696
Provider Type
Organization
Full Name
Luis Mendez, Lcsw, Llc

Subpart
No
Enumeration Date
2/2/2016
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

Authorized Official

Mendez, Luis (Licensed Clinical Social Worker)

(860) 513-2327

Provider Taxonomies

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

Luis Mendez, Lcsw, Llc

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Gill, Angelica

Campbell, Korin

Pratt-Bluemle, Lindsay

Gialopsos, Jennine M.

Koiv, Anneliis

Hunter, Colinda K.

Lawless, Virginia

James, Patricia Langevin

Mayweather-Banks, Nichole

Parent, Amy Joy