Individual provider Active NPI

Michelle A Mohner, L.C.S.W.

  • Clinical Social Worker
  • Bradenton, FL
National Provider Identifier
1083982862
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2405676 Issued in OH
Practice address
13007 Indigo Way
Bradenton, FL 34211-4113
Phone
(440) 554-4753
NPI assigned
Dec 7, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.2405676 OH Primary
Clinical Social Worker 1041C0700X 17791 FL

Addresses

Primary practice location

13007 Indigo Way
Bradenton, FL 34211-4113

Mailing address

13007 Indigo Way
Bradenton, FL 34211-4113
Phone (440) 554-4753

Other identifiers 1

IdentifierTypeStateIssuer
1083982862MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210225003343 FL Practitioner - Clinical Social Worker 2769897677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arg Innovations LLCGroup PAC ID 3779940838, 7 clinicians

Practice addresses (Care Compare)

5801 21St Ave W
Bradenton, FL 34209-5641
Phone (941) 778-4888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17791FLMDClinical Social Worker
I.2405676OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Arg Innovations LLC CurrentSince Apr 1, 2025 Accepting new patients
Florida United Methodist Childrens Home, Inc. PastSince Feb 23, 2020 Accepting new patients
Circle of Friends Services Inc Past Accepting new patients

Locations

5801 21st Ave W
Bradenton, FL 34209
Phone (941) 251-0899

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1083982862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13007 INDIGO WAY",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342114113",
            "telephone_number": "440-554-4753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13007 INDIGO WAY",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342114113",
            "telephone_number": "440-554-4753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHNER",
        "first_name": "MICHELLE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-07",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2405676",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "17791",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083982862",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.