Individual provider Active NPI

Andrea Gabriela Mendez-Brown

  • Clinical Social Worker
  • Tampa, FL
National Provider Identifier
1316551856
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW24450 Issued in FL
Practice address
14497 N Dale Mabry Hwy
Tampa, FL 33618-2047
Phone
(727) 732-4305
Fax
(727) 499-7888
NPI assigned
Sep 2, 2020
Last updated
Nov 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW24450 FL Primary

Addresses

Primary practice location

14497 N Dale Mabry Hwy
Tampa, FL 33618-2047

Mailing address

14497 N Dale Mabry Hwy
Tampa, FL 33618-2047
Phone (727) 732-4305

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
I20251219000352 FL Practitioner - Clinical Social Worker 9830684653 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2868 Living Coral Dr
Odessa, FL 33556-5123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW24450FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa Bay Area Counseling CurrentSince Sep 25, 2025 Accepting new patients
Mindmetrics PastSince May 19, 2024 Accepting new patients
Proactive Life Skills LLC PastSince Sep 1, 2020 Accepting new patients

Locations

3607 Alt 19
Palm Harbor, FL 34683
Phone (727) 732-4305

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1316551856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14497 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182047",
            "telephone_number": "727-732-4305",
            "fax_number": "724-499-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14497 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182047",
            "telephone_number": "727-732-4305",
            "fax_number": "727-499-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ-BROWN",
        "first_name": "ANDREA",
        "middle_name": "GABRIELA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-02",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW24450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.