Jacqueline K Mendoza, LCSW, ACSW,LCDC (TX) is a
Social Worker - Clinical based in Baton Rouge, Louisiana. Jacqueline K Mendoza is licensed to practice in Texas (license number 32084) and her current practice location is
4615 Government St Bldg 1, Baton Rouge, Louisiana. She can be reached at her office (for appointments etc.) via phone at
(225) 922-0478.
NPI number for Jacqueline K Mendoza is 1417013574 and her current mailing address is 1030 S Eugene St, Baton Rouge, Louisiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417013574.
Healthcare Provider's Profile
| Full Name | Jacqueline K Mendoza |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 4615 Government St Bldg 1, Baton Rouge, Louisiana |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1417013574
- Provider Enumeration Date: 12/30/2006
- Last Update Date: 01/04/2012
Medical Identifiers
Medical identifiers for Jacqueline K Mendoza such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417013574 | NPI | - | NPPES |
| 2195773 | Other | TX | FIRST HEALTH NETWORK |
| 258450000 | Other | TX | MAGELLAN HEALTH SERVICES |
| 0079KX | Other | TX | BLUE CROSS BLUE SHIELD |
| 2230312 | Other | TX | CIGNA |
| 309302 | Other | TX | MHN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 9979 (Texas) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 0189 (Texas) | Secondary |
| 1041C0700X | Social Worker - Clinical | 32084 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacqueline K Mendoza is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jacqueline K Mendoza, LCSW, ACSW,LCDC (TX)
1030 S Eugene St,
Baton Rouge, LA 70806-5478
Ph: (225) 931-9981 | Jacqueline K Mendoza, LCSW, ACSW,LCDC (TX)
4615 Government St Bldg 1,
Baton Rouge, LA 70806-5922
Ph: (225) 922-0478 |
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