Mireya Mondragon

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

115 K D Revell Rd
Wauchula, FL 33873-2051

Phone

(863) 773-2226

NPI assigned

Aug 13, 2025

Last updated

Aug 13, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Tri County Human Services, Inc.

  • Community/Behavioral Health Agency
  • Lakeland, FL
  • NPI 1164485074
  NPD

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

{
    "created_epoch": "1755043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1801772165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2026 CRYSTAL WOOD DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338016884",
            "telephone_number": "863-709-9392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 K D REVELL RD",
            "city": "WAUCHULA",
            "state": "FL",
            "postal_code": "338732051",
            "telephone_number": "863-773-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONDRAGON",
        "first_name": "MIREYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-13",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christy A Merrick, ARNP
• Adna Metayer
• Miles S Judah, Inc (Pete's Pharmacy)
• Bonnie Misiak, DDS
• Kayum Mohammadbhoy, M.D.
• Lindsay Moon, PHARMD
• Catherine Morris, L.M.T.
• Katie Moye
• Lauren Mullins
• Eleanor Denise Murdock-Davis, ARNP

• Clinical Social Worker in Wauchula, FL
• Providers in Wauchula, 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 Aug 13, 2025; 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.