Active NPI
Judith Mondesir, LCSW
- Clinical Social Worker
- Gainesville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW17937
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ISW11831 | FL | MD | Mental Health Counselor |
| SW11831 | FL | MD | Social Worker |
| SW17937 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Mental Health | Current | Accepting new patients |
| First Integrative Consulting Services | Mental Health | Current | 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
- 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.
-
- Mental Health Counselor
- Gainesville, GA
- NPI 1326665852
-
- Mental Health Counselor
- Miami, FL
- NPI 1245845932
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Mental Health
-
- Clinical Social Worker
- Wellington, FL
- NPI 1710223458
Mental Health
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.