Active NPI
Deborah Mondlak
- Clinical Social Worker
- Sunny Isles Beach, FL
National Provider Identifier
1457174104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ISW20484
- Practice address
- 16901 Collins Ave Apt 5305
Sunny Isles Beach, FL 33160-5358 - Phone
- (305) 680-8022
- NPI assigned
- Nov 1, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ISW20484 | FL | Primary |
Addresses
Primary practice location
16901 Collins Ave Apt 5305
Sunny Isles Beach, FL 33160-5358
Mailing address
16901 Collins Ave Apt 5305
Sunny Isles Beach, FL 33160-5358
Phone (305) 680-8022
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ISW20484 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730419200000",
"number": "1457174104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16901 COLLINS AVE APT 5305",
"city": "SUNNY ISLES BEACH",
"state": "FL",
"postal_code": "331605358",
"telephone_number": "305-680-8022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16901 COLLINS AVE APT 5305",
"city": "SUNNY ISLES BEACH",
"state": "FL",
"postal_code": "331605358",
"telephone_number": "305-680-8022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONDLAK",
"first_name": "DEBORAH",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-01",
"last_updated": "2024-11-01",
"certification_date": "2024-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "ISW20484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sunny Isles Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.