Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeannette Mendoza-Martinez

Individual provider Clinical Social Worker · NPI 1417671025

Jeannette Mendoza-Martinez is a Clinical Social Worker in O Fallon, Illinois. Qualified in 2004, 22 years ago. Works from 2 locations. Licensed in Delaware.

Years since qualifying
22
Licensed in
DE
In the registry since
2022

Practice location Address checks out

980 Carnegie Knolls Dr
O Fallon, IL 62269-1891
Phone: (240) 921-9959
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 310 W Losey St, Scott Afb, IL 62225-5250 — (619) 256-9355

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence Q1-0012070 (DE)

Record details

NPI number1417671025
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 27, 2022
Last updated in NPPESJune 11, 2025
Certification dateJune 11, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Not indicated

Other providers in O Fallon