MARIA-ELENA MENDOZA (LICSW) – Clinical Social Worker, NPI 1003329665

MARIA-ELENA MENDOZA (LICSW) is a healthcare provider. based in Yakima, Washington. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. LW61525346 (WA). The NPI Number for MARIA-ELENA MENDOZA (LICSW) is 1003329665

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
MARIA-ELENA MENDOZA (LICSW)
NPI
1003329665
Phone
(509) 454-4143
Address
PO BOX 2605
Enumeration Date
6 November 2017
Last Update Date
2 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2020 (6 years ago)
PAC ID
5799222741
Group Practice PAC ID
6709786585
Professional Enrollment ID
I20240807004770
Address ID
WA989013020Ya12XXXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:8State licenses:2Digital endpointsOther names

1,396 CLINICAL SOCIAL WORKER in WA

Provider Addresses for MARIA-ELENA MENDOZA (LICSW)

  • PO BOX 2605

    YAKIMA, WA 989072605

    Phone: (509) 454-4143

    Type: Mailing

  • 12 S 8TH ST

    YAKIMA, WA 989013020

    Phone: (509) 454-4143

    Type: Location

  • 603, South 20th Avenue, Yakima, Yakima County, Washington, 98902, United States

    YAKIMA, WA 989024225

    Phone:

    Type: Mailing

  • 918, East Mead Avenue, Yakima, Yakima County, Washington, 98903, United States

    YAKIMA, WA 98902

    Phone: (509) 453-1344

    Type: Location

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: 2024-08-07

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
I20240807004770IClinical Social WorkerWATBD

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 98907)

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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: 6709786585View full group profile
NameSpecialtyState
Nurse PractitionerWA
Nurse PractitionerWA
Nurse PractitionerWA
O P T O M E T R YWA
Internal MedicineWA
-WA
Certified Nurse Midwife (Cnm)WA
Nurse PractitionerWA
-WA
Nurse PractitionerCA

Reviews

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Frequently asked questions

How is MARIA-ELENA MENDOZA (LICSW) identified in CMS data?
CMS-hosted NPPES data lists MARIA-ELENA MENDOZA (LICSW) with NPI 1003329665.
Does CMS list MARIA-ELENA MENDOZA (LICSW) as active?
Yes — MARIA-ELENA MENDOZA (LICSW) is active in the NPI listing used on this page.
What is MARIA-ELENA MENDOZA (LICSW)'s primary classification?
Clinical Social Worker is the headline specialty for MARIA-ELENA MENDOZA (LICSW) here. Clinical services aligned with this taxonomy classification.
Does MARIA-ELENA MENDOZA (LICSW) list a practice location?
Patients near Yakima, Washington may find MARIA-ELENA MENDOZA (LICSW) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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