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NPI Code Detail

MEDICARE: CASSANDRA M. MENA LCSW

MEDICARE: CASSANDRA M. MENA LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker107485TX

General Provider Information

NPI Number : 1376328187
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASSANDRA M. MENA LCSW
Provider Business Mailing Address
First Line : 201 E MAIN DR STE 600
Second Line :
City : EL PASO
State : TX
Zip : 79901-1385
Country : US
Telephone Number : 915-887-3410
Fax Number :
Provider Business Practice Location Address
First Line : 8500 BOEING DR
Second Line :
City : EL PASO
State : TX
Zip : 79925-1224
Country : US
Telephone Number : 915-887-3410
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2023
Last Update Date : 02/19/2026

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