Individual provider · Type 1 NPI

Anais Kineyda Mendieta, LCSW, LCAS

Clinical Social Worker · Raleigh, NC

NPI number 1194296749 Active

Practice location

5814 Blacksmith Dr
Raleigh, NC 27606-7701

Mailing address

3350 Footbridge Ln Ste 124
Fayetteville, NC 28306-9695

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC013650 (NC)
Addiction (Substance Use Disorder) Counselor 101YA0400XLCAS-25246 (NC)
Clinical Social Worker 1041C0700XP013128 (NC)

Clinical Social Worker: 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 interpers…

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About NPI 1194296749

Anais Kineyda Mendieta, LCSW, LCAS's National Provider Identifier is 1194296749, issued on Dec 7, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Raleigh, NC. The record was last updated on Feb 26, 2026.