Provider Demographics
NPI:1972296309
Name:MENDEZ GARCIA, VERONICA ISABEL (MSW, ACSW)
Entity type:Individual
Prefix:MISS
First Name:VERONICA
Middle Name:ISABEL
Last Name:MENDEZ GARCIA
Suffix:
Gender:F
Credentials:MSW, ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 N R ST STE 101
Mailing Address - Street 2:
Mailing Address - City:MADERA
Mailing Address - State:CA
Mailing Address - Zip Code:93637-4465
Mailing Address - Country:US
Mailing Address - Phone:559-662-0527
Mailing Address - Fax:
Practice Address - Street 1:117 N R ST STE 101
Practice Address - Street 2:
Practice Address - City:MADERA
Practice Address - State:CA
Practice Address - Zip Code:93637-4465
Practice Address - Country:US
Practice Address - Phone:559-662-0527
Practice Address - Fax:559-661-5159
Is Sole Proprietor?:No
Enumeration Date:2023-05-31
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA115364104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker