AMANDA PATRICIA MENDIZABAL LICSW
NPI 1295047454
Social Worker - Clinical in Washington, DC

Active since July 04, 2010Opted out of Medicare · through Jan 10, 2027
1350 CONNECTICUT AVE NW, STE 309, WASHINGTON, DC 20036(202) 957-4465 Get Directions Write a Review

NPPES record last updated: July 4, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amanda Patricia Mendizabal Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA PATRICIA MENDIZABAL LICSW (NPI 1295047454) is an individual clinical provider in Washington, District Of Columbia, licensed in District Of Columbia (LC50078216) and active in the NPI registry since July 2010. She has opted out of Medicare through January 10, 2027.

NPPES Registry Identity

NPI1295047454
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameAMANDA PATRICIA MENDIZABALCredential: LICSW
Location Address1350 CONNECTICUT AVE NW, STE 309Washington, DC 20036-1722
Mailing Address1350 Connecticut Ave Nw, Ste 309Washington, DC 20036-1722 · (202) 957-4465
Sole ProprietorYes
Enumeration DateJuly 4, 2010
NPI 1295047454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in DC · LC50078216
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1350 CONNECTICUT AVE NW, Washington, DC 20036

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Amanda Patricia Mendizabal Licsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 10, 2023 through January 10, 2027.

Opt-Out Effective DateJanuary 10, 2023
Opt-Out In Effect ThroughJanuary 10, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Counseling)
1350 CONNECTICUT AVE NW, #308
WASHINGTON, DC 20036
Psychologist (Clinical)
1350 CONNECTICUT AVE NW, SUITE 602
WASHINGTON, DC 20036
Social Worker (Clinical)
1350 CONNECTICUT AVE NW, SUITE 801
WASHINGTON, DC 20036
Dentist (Periodontics)
1350 CONNECTICUT AVE NW, #305
WASHINGTON, DC 20036
Dentist (Endodontics)
1350 CONNECTICUT AVE NW, SUITE 305
WASHINGTON, DC 20036
Psychologist
1350 CONNECTICUT AVE NW
WASHINGTON, DC 20036
Physician Assistant (Medical)
1350 CONNECTICUT AVE NW, SUITE 1250
WASHINGTON, DC 20036
Psychologist (Clinical)
1350 CONNECTICUT AVE NW, #602
WASHINGTON, DC 20036

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Mendizabal's NPI number?

The NPI number for Amanda Mendizabal is 1295047454. It was assigned to this individual provider in the NPPES registry on July 4, 2010.

Where is Amanda Mendizabal located?

Amanda Mendizabal practices at 1350 Connecticut Ave NW Ste 309, Washington, DC 20036. The listed phone number is (202) 957-4465.

What is Amanda Mendizabal's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Amanda Mendizabal enrolled in Medicare?

No. Amanda Mendizabal has opted out of Medicare through January 10, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Amanda Mendizabal was last updated on July 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.