Provider Demographics
NPI:1194170084
Name:MENENDEZ, NOELMI (LISW-S)
Entity type:Individual
Prefix:MRS
First Name:NOELMI
Middle Name:
Last Name:MENENDEZ
Suffix:
Gender:F
Credentials:LISW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8315 DETROIT AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44102-1805
Mailing Address - Country:US
Mailing Address - Phone:216-651-9950
Mailing Address - Fax:216-651-9951
Practice Address - Street 1:8315 DETROIT AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44102-1805
Practice Address - Country:US
Practice Address - Phone:216-651-9950
Practice Address - Fax:216-651-9951
Is Sole Proprietor?:No
Enumeration Date:2016-04-27
Last Update Date:2016-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.1450968-SUPV1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical