Provider Demographics
NPI:1942869920
Name:MENTO, CHLOE (LISW, CP)
Entity type:Individual
Prefix:
First Name:CHLOE
Middle Name:
Last Name:MENTO
Suffix:
Gender:F
Credentials:LISW, CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1041 BIDWELL CIR
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29414-5835
Mailing Address - Country:US
Mailing Address - Phone:732-245-4162
Mailing Address - Fax:
Practice Address - Street 1:1041 BIDWELL CIR
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29414-5835
Practice Address - Country:US
Practice Address - Phone:732-245-4162
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-12
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC154471041C0700X
DCLC500818961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical