Provider Demographics
NPI:1912470576
Name:MENDOZA, SABINA J (LICSW, MSW)
Entity type:Individual
Prefix:
First Name:SABINA
Middle Name:J
Last Name:MENDOZA
Suffix:
Gender:F
Credentials:LICSW, MSW
Other - Prefix:
Other - First Name:SABINA
Other - Middle Name:J
Other - Last Name:HARDESTY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICSW
Mailing Address - Street 1:8233 MACKENZIE RD
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68505-2068
Mailing Address - Country:US
Mailing Address - Phone:402-570-0401
Mailing Address - Fax:
Practice Address - Street 1:6301 ORCHARD ST STE 3
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68505-1807
Practice Address - Country:US
Practice Address - Phone:402-309-3005
Practice Address - Fax:402-520-6610
Is Sole Proprietor?:No
Enumeration Date:2019-01-07
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE21201041C0700X
NE11731101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical