MEDICARE: HENRIETTA MENCO CONULTING PLLC

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

General Provider Information

NPI Number	:	1730049339
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HENRIETTA MENCO CONULTING PLLC

Provider Business Mailing Address
First Line	:	203 ARLINGTON ST STE 4
Second Line	:
City	:	WATERTOWN
State	:	MA
Zip	:	02472-2036
Country	:	US
Telephone Number	:	617-519-4516
Fax Number	:

Provider Business Practice Location Address
First Line	:	203 ARLINGTON ST STE 4
Second Line	:
City	:	WATERTOWN
State	:	MA
Zip	:	02472-2036
Country	:	US
Telephone Number	:	617-519-4516
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	HENRIETTA MENCO
Credential	:	LICSW
Telephone Number	:	617-519-4516

Provider Enumeration Date	:	11/15/2025
Last Update Date	:	11/15/2025

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