Individual provider Active NPI

Judith Mondesir, LCSW

  • Clinical Social Worker
  • Gainesville, GA
National Provider Identifier
1861931354
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW17937 Issued in FL
Practice address
311 Green St NW Ste 404
Gainesville, GA 30501-3366
Phone
(678) 732-7616
NPI assigned
Feb 16, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW17937 FL Primary
Social Worker 104100000X SW11831 FL
Mental Health Counselor 101YM0800X ISW11831 FL

Addresses

Primary practice location

311 Green St NW Ste 404
Gainesville, GA 30501-3366

Mailing address

716 Holcomb Bridge Rd
Norcross, GA 30071-1325
Phone (678) 732-7616

Other practice location 1

716 Holcomb Bridge Rd
Norcross, GA 30071-1325
Phone (678) 732-7616

Other practice location 2

5210 White Oleander
West Palm Beach, FL 33415-4475
Phone (561) 667-8481

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ISW11831FLMDMental Health Counselor
SW11831FLMDSocial Worker
SW17937FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Mental Health CurrentSince Mar 5, 2024 Accepting new patients
First Integrative Consulting Services Mental Health CurrentSince Jun 16, 2026 Accepting new patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients
Empower Me Clinical Practice, LLC Mental Health Past Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964

311 Green St NW
Ste 404
Gainesville, GA 30501
Phone (678) 732-7616

716 Holcomb Bridge Rd
Norcross, GA 30071
Phone (423) 903-9761

6624 Jimmy Carter Blvd
#A
Peachtree Corners, GA 30071
Phone (404) 900-5450

Interoperability endpoints

  • Direct secure messaging: judithmondesir@tdh.allscriptsdirect.net

Organizations & group practices 4

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": "1487203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1861931354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 HOLCOMB BRIDGE RD",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300711325",
            "telephone_number": "678-732-7616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 GREEN ST NW STE 404",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013366",
            "telephone_number": "678-732-7616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "716 Holcomb Bridge Rd",
            "address_purpose": "LOCATION",
            "city": "Norcross",
            "state": "GA",
            "postal_code": "300711325",
            "country_code": "US",
            "telephone_number": "678-732-7616",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5210 White Oleander",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334154475",
            "country_code": "US",
            "telephone_number": "561-667-8481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONDESIR",
        "first_name": "JUDITH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-16",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW17937",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "SW11831",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "ISW11831",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.