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Deactivated NPI 1265026835 Deactivated / Inactive NPI Male Practitioner

Jeffrey P. Mendillo , LCSW

Social Worker - Clinical • Conroe, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jeffrey Mendillo has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 24, 2021
NPI Deactivation Date April 08, 2021
Total Practice Duration ~1 Years of Practice (2021 – 2021)

Professional Overview & Biography Verified Profile Summary

Jeffrey Mendillo, LCSW was a registered Social Worker - Clinical practicing in Conroe, TX. Throughout an active medical career spanning 1 years, Jeffrey Mendillo provided care at the practice location at 100 I-45 NORTH until profile deactivation on 2021-04-08.

Practice Location & Contact Primary Location

Practice Address

100 I-45 North
Suite 320

Conroe, TX 77301

Telephone 9367010894
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Conroe, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.2 Yrs
State Avg: 17.2 Yrs
Regional Practice Density
40 Specialists

Practicing in Conroe, TX (12037 Statewide)

Telehealth Adoption Rate
5.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-02-07
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License TX 65911

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
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Updated Practice Location February 07, 2022

Registered at 100 I-45 NORTH, SUITE 320, CONROE, TX 77301 (Tel: 9367010894)

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Updated Business Mailing Address February 07, 2022

Registered at 206A S LOOP 336 W, UNIT 312, CONROE, TX 77304 (Tel: 9367010894)

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Provider Name / Credentials Updated February 07, 2022

Recorded as JEFFREY MENDILLO, LCSW

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2022

Social Worker (License #65911 in TX)

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NPI Profile Deactivated April 08, 2021

Record deactivated on April 08, 2021

NPI Profile Active February 24, 2021

NPI status registered as active in NPPES database

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Updated Practice Location February 24, 2021

Registered at 3135 SOARING PINES TRL, CONROE, TX 773012073 (Tel: 2035204517)

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Updated Business Mailing Address February 24, 2021

Registered at 3135 SOARING PINES TRL, CONROE, TX 773012073 (Tel: 2035204517)

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Provider Name / Credentials Updated February 24, 2021

Recorded as JEFFREY MENDILLO, LCSW

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2021

Social Worker (License #65911 in TX)

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Initial NPI Registration & Enumeration February 24, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265026835
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 24, 2021
Last Update: February 07, 2022
Deactivation Date: April 08, 2021
Sole Proprietor: No

Mailing Address

206a S Loop 336 W, Unit 312

Conroe, TX 77304

Phone: 9367010894

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.