Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Elisia Lopez-Mendiola, LCSW, QMHP

Individual provider Mental Health Counselor · NPI 1528371358

Elisia Lopez-Mendiola, LCSW, QMHP is a Clinical Social Worker in Portland, Oregon. Qualified in 2015, 11 years ago. Accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
11
Licensed in
OR
In the registry since
2010
Specialties on file
3
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

12121 E Burnside St
Portland, OR 97216-3737
Phone: (971) 361-7764
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence L8223 (OR)
Mental Health Counselor Taxonomy 101YM0800X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1528371358
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , QMHP
Sole proprietorNo
NPI enumeratedJuly 21, 2010
Last updated in NPPESSeptember 17, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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