TERESA ELVIRA MENDOZA – Clinical Social Worker, NPI 1265106801

TERESA ELVIRA MENDOZA is a healthcare provider. based in Berwyn, Illinois. specializing in CLINICAL SOCIAL WORKER. The NPI Number for TERESA ELVIRA MENDOZA is 1265106801

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
TERESA ELVIRA MENDOZA
NPI
1265106801
Phone
(708) 745-5277
Address
6918 W Windsor Ave
Enumeration Date
6 August 2021
Last Update Date
7 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8475248800
Graduation Year
2022 (4 years ago)
PAC ID
0244772408
Group Practice PAC ID
7416940655
Professional Enrollment ID
I20240604001577
Address ID
IL600073217EL1001XRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:4State licenses:0Digital endpointsOther names

3,510 CLINICAL SOCIAL WORKER in IL

Provider Addresses for TERESA ELVIRA MENDOZA

  • 6918 W Windsor Ave

    Berwyn, IL 604023334

    Phone: (708) 745-5277

    Type: Location

  • 222 E WILLOW AVE

    WHEATON, IL 601875426

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-06-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240604001577IClinical Social WorkerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60402)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416940655View full group profile
NameSpecialtyState
Mental Health CounselorIL
Mental Health CounselorIL
-IL
Clinical Social WorkerIL
Mental Health CounselorIL
-IL
Clinical Social WorkerIL
-IL
Clinical Social WorkerIL
Mental Health CounselorIL

Reviews

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Frequently asked questions

How is TERESA ELVIRA MENDOZA identified in CMS data?
CMS-hosted NPPES data lists TERESA ELVIRA MENDOZA with NPI 1265106801.
Can I rely on TERESA ELVIRA MENDOZA being an active provider?
As of the registry snapshot, TERESA ELVIRA MENDOZA is marked active.
What is TERESA ELVIRA MENDOZA best known for clinically?
Directory data describes TERESA ELVIRA MENDOZA with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where should I expect TERESA ELVIRA MENDOZA on a map?
Expect Berwyn, Illinois as a primary anchor for TERESA ELVIRA MENDOZA unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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