MEDICARE: MS. TERESA MARIA MENDEZ M.S.W.

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
1	1041C0700X	Clinical Social Worker	16427	MD

General Provider Information

NPI Number	:	1184873283
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TERESA MARIA MENDEZ M.S.W.

Provider Business Mailing Address
First Line	:	50 E ST SE
Second Line	:	SUITE 300
City	:	WASHINGTON
State	:	DC
Zip	:	20003-2620
Country	:	US
Telephone Number	:	202-543-4645
Fax Number	:

Provider Business Practice Location Address
First Line	:	50 E ST SE
Second Line	:	SUITE 300
City	:	WASHINGTON
State	:	DC
Zip	:	20003-2620
Country	:	US
Telephone Number	:	202-543-4645
Fax Number	:	202-543-2232

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/12/2008
Last Update Date	:	12/21/2012

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