MEDICARE: MRS. CHRISTINA MENDOZA PICKER 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
1	1041C0700X	Clinical Social Worker	88396	CA
2	1041C0700X	Clinical Social Worker	31071	MN
3	1041C0700X	Clinical Social Worker	7486-C	NV
4	1041C0700X	Clinical Social Worker	LCSW-202125	AZ

General Provider Information

NPI Number	:	1407281561
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHRISTINA MENDOZA PICKER LCSW

Provider Business Mailing Address
First Line	:	PO BOX 371401
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89137-1401
Country	:	US
Telephone Number	:	725-346-9277
Fax Number	:

Provider Business Practice Location Address
First Line	:	PO BOX 371401
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89137-1401
Country	:	US
Telephone Number	:	725-346-9277
Fax Number	:

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

Provider Enumeration Date	:	09/09/2013
Last Update Date	:	02/16/2026

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