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NPI Code Detail

MEDICARE: ASHLEY MARIE MENDELSON

MEDICARE: ASHLEY MARIE MENDELSON
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 Worker

General Provider Information

NPI Number : 1386580611
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY MARIE MENDELSON
Provider Business Mailing Address
First Line : 1601 NW 12TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33136-1005
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1601 NW 12TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33136-1005
Country : US
Telephone Number : 305-243-6660
Fax Number : 305-243-3501
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2026
Last Update Date : 04/28/2026

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Directions to “ ASHLEY MARIE MENDELSON ” Practice Location

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