Provider Demographics
NPI:1316628498
Name:MENDEZ, PAULINA (LCSWA, LCASA)
Entity type:Individual
Prefix:
First Name:PAULINA
Middle Name:
Last Name:MENDEZ
Suffix:
Gender:F
Credentials:LCSWA, LCASA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 W CITRA ST
Mailing Address - Street 2:
Mailing Address - City:ARDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28704-0756
Mailing Address - Country:US
Mailing Address - Phone:828-708-7333
Mailing Address - Fax:
Practice Address - Street 1:7 W CITRA ST
Practice Address - Street 2:
Practice Address - City:ARDEN
Practice Address - State:NC
Practice Address - Zip Code:28704-0756
Practice Address - Country:US
Practice Address - Phone:828-708-7333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-31
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLCAS-29123101YA0400X
NCP0194441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)