Healthcare Provider Details

I. General information

NPI: 1740057595
Provider Name (Legal Business Name): JOCELINE HYLTON MENDEZ LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/11/2023
Last Update Date: 12/30/2025
Certification Date: 12/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3285 S VAL VISTA DR
GILBERT AZ
85297-7000
US

IV. Provider business mailing address

3285 S VAL VISTA DR
GILBERT AZ
85297-7000
US

V. Phone/Fax

Practice location:
  • Phone: 602-277-5551
  • Fax:
Mailing address:
  • Phone: 602-277-5551
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number149.030732
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLMSW-19971
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: