Active NPIIndividual providerSole proprietor

Mr. Mendrick Banzuela

Social Worker in Worcester, Massachusetts

NPI Number1679011563
Practice location
484 Main St, Worcester, MA 01608-1893
Fax
—
Last updated
February 10, 2017

Mendrick Banzuela is a Social Worker based in Worcester, MA. Mendrick Banzuela practices in Worcester, MA. The NPI Number for Mendrick Banzuela is 1679011563. The current practice location address for Mendrick Banzuela is 484 Main St, Worcester, MA 01608-1893 and can be reached out via phone at 508-791-4373.

Provider Profile Details

NPI Number
1679011563
Provider Name
Mendrick Banzuela
Provider Entity Type
Individual
Gender
Male
Address
484 Main St, Worcester, MA 01608-1893
Phone Number
508-791-4373
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
Yes
Provider Enumeration Date
February 10, 2017
Last Update Date
February 10, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
484 Main St
Worcester, MA 01608-1893
Zip
01608-1893
Phone Number
508-791-4373
Worcester, MA 01608Get directions →

Provider Business Mailing Address Details

Address
484 Main St
Worcester, MA 01608-1893
City
Worcester
State
MA
Zip
01608-1893

License Information

Taxonomy
Social Worker · 104100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Mendrick Banzuela?

The NPI number of Mr. Mendrick Banzuela is 1679011563. It was assigned on February 10, 2017 and is currently active in the NPPES registry.

What is the specialty of Mr. Mendrick Banzuela?

Mr. Mendrick Banzuela is registered under the primary taxonomy Social Worker (code 104100000X).

Where does Mr. Mendrick Banzuela practice?

The practice location is 484 Main St, Worcester, MA 01608-1893. The office can be reached at 508-791-4373 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1679011563 directly on the NPPES registry website.

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