AMANDA VICTORIA MENDOZA (NPI# 1548731417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548731417 |
| Entity Type | Individual |
| Full Name | AMANDA VICTORIA MENDOZA |
| Practice Address |
5910 W Division St Chicago IL 60651-1031 |
| Mailing Address |
1550 S Blue Island Ave Unit 311 Chicago IL 60608-2866 |
| Practice Telephone | 7737777112 |
| Practice Fax Number | 7738873000 |
| Mailing Telephone | 3605678679 |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2018-12-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245733989 | Amanda Mendoza | Nurse Practitioner | 4 E Jackson Blvd, Savannah, GA 31405-5810 | 2018-03-08 |
| Street Address |
5910 W DIVISION ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60651-1031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922411008 | Youth Outreach Services | Clinic/Center | 5910 W Division St, Chicago, IL 60651-1031 | 2014-06-06 |
| 1265054704 | Tiesha Liggins | Counselor | 5910 W Division St, Chicago, IL 60651-1031 | 2020-05-07 |
| 1144850470 | Jasmine Gervaiz Gaddy | Counselor | 5910 W Division St, Chicago, IL 60651-1031 | 2020-01-26 |
| 1699249326 | Cole Vocelka | Counselor | 5910 W Division St, Chicago, IL 60651-1031 | 2019-01-16 |
| 1740751791 | Cynthia Danielle Cruz | Counselor | 5910 W Division St, Chicago, IL 60651-1031 | 2018-12-16 |
| 1326536376 | Tyrone Anderson | Counselor | 5910 W Division St, Chicago, IL 60651-1031 | 2018-04-25 |
| 1801399480 | Tyesha Johnson | Counselor | 5910 W Division St, Chicago, IL 60651-1031 | 2018-03-09 |
| 1114435617 | Jessica Chandler | Counselor | 5910 W Division St, Chicago, IL 60651-1031 | 2018-01-18 |
| 1104332998 | Sheneca Curtis | Counselor | 5910 W Division St, Chicago, IL 60651-1031 | 2017-12-16 |
| 1427584853 | Rena Garrett | Counselor | 5910 W Division St, Chicago, IL 60651-1031 | 2017-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215474978 | Kanesha Walker Amaro | Counselor | 5910 W Division, Chicago, IL 60651 | 2017-01-19 |
| 1639628415 | Fresenius Medical Care of Illinois, LLC | Clinic/Center | 3520 West Grand, Chicago, IL 60651 | 2016-09-22 |
| 1326596321 | Giselle Tisha Wallace | Nurse's Aide | 5809 W Rice, Chgo, IL 60651 | 2016-09-19 |
| 1811385214 | Jeanette Rodriguez | Social Worker | 1116 N Kedzie Av. Office#257, Association House of Chicago, Chicago, IL 60651 | 2015-01-07 |
| 1801147475 | Diane Dickens-rogers | Massage Therapist | 5700 W. Chicago Ave., Chicago, IL 60651 | 2012-09-24 |
| 1891045241 | Association House of Chicago | Residential Treatment Facility, Emotionally Disturbed Children | 1900 North Sawyer Avenue, Chicago, IL 60651 | 2012-09-13 |
| 1770860983 | Christine C Osborne | Pharmacist | 1541 N.central Ave, Chicago, IL 60651 | 2011-11-16 |
| 1629206388 | Habilitative Systems Inc | Case Management | 1049 N Drake Ave, Chicago, IL 60651 | 2009-07-01 |
| 1841428547 | Habilitative Systems, Inc. | Case Management | 4234 W Potomac Ave, Chicago, IL 60651 | 2009-07-01 |
| 1306074000 | Habilitative Systems, Inc | Case Management | 915 N Massasoit Ave, Chicago, IL 60651 | 2009-07-01 |
| Find all providers in zip 60651 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811595325 | Veronica Lozano | Social Worker | 1 E Erie St Ste 525-4066, Chicago, IL 60611-2740 | 2020-10-16 |
| 1609483346 | Rene M Salvatore | Social Worker | 3434 N Bell Ave Apt 1n, Chicago, IL 60618-6002 | 2020-09-27 |
| 1851908594 | Madison Skerritt | Social Worker | 1333 N Campbell Ave Apt 6, Chicago, IL 60622-2482 | 2020-09-27 |
| 1093328486 | Marlena Christine Gebhard | Social Worker | 3704 N Wayne Ave Apt 3, Chicago, IL 60613-7163 | 2020-08-26 |
| 1740893486 | Jennifer Calderon | Social Worker | 4732 N Austin Ave Unit A, Chicago, IL 60630-3785 | 2020-08-24 |
| 1235741851 | Ellen King Rosendale | Social Worker | 1236 E Madison Park Apt 6e, Chicago, IL 60615-2955 | 2020-08-17 |
| 1023620655 | Jason Hoffmann | Social Worker | 1525 W Hollywood Ave Apt 2, Chicago, IL 60660-4508 | 2020-08-17 |
| 1881206498 | Antoinette Lynn Senjanovich | Social Worker | 5750 N Kenmore Ave Apt 207, Chicago, IL 60660-4529 | 2020-08-17 |
| 1912516386 | Nina Limbeck | Social Worker | 3830 W Cornelia Ave, Chicago, IL 60618-5004 | 2020-07-30 |
| 1952926826 | Adie Tuohey | Social Worker | 3214 W Cortez St Apt 2e, Chicago, IL 60651-4062 | 2020-06-16 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.