Provider Demographics
NPI:1427125913
Name:MENDELSON, MONA LYNN (MSW)
Entity type:Individual
Prefix:MS
First Name:MONA
Middle Name:LYNN
Last Name:MENDELSON
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6917 ARLINGTON RD
Mailing Address - Street 2:SUITE 224
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-5211
Mailing Address - Country:US
Mailing Address - Phone:240-354-6704
Mailing Address - Fax:301-654-0333
Practice Address - Street 1:4405 EAST-WEST HWY
Practice Address - Street 2:SUITE 506
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-4586
Practice Address - Country:US
Practice Address - Phone:240-354-6704
Practice Address - Fax:301-656-2998
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2010-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD090531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD491898Medicare ID - Type Unspecified