Deborah Mondlak PA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

DEBORAH MONDLAK PA

Practice address

16901 Collins Ave Apt 5305
Sunny Isles Beach, FL 33160-5358

Phone

(866) 866-7215

NPI assigned

Nov 7, 2024

Last updated

Nov 14, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Deborah MondlakNPI 1457174104

Title

President

Phone

(866) 866-7215

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Deborah Mondlak

  • Clinical Social Worker
  • Sunny Isles Beach, FL
  • NPI 1457174104
  Authorized official Same address or phone

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

{
    "created_epoch": "1730937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1689498511",
    "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": "866-866-7215"
        },
        {
            "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": "866-866-7215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH MONDLAK PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-07",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "MONDLAK",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "866-866-7215"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Sunny Isles Beach, FL
• Providers in Sunny Isles Beach, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.

Verify at the official NPI Registry.