Active NPI
Mondie Gonzales, LISW
- Clinical Social Worker
- Strongsville, OH
National Provider Identifier
1942637665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I0009377
- Practice address
- 17637 Shurmer Rd
Strongsville, OH 44136-6157 - Phone
- (216) 210-4041
- NPI assigned
- Sep 27, 2013
- Last updated
- Aug 13, 2021
- Sex
- Female
- Sole proprietor
- No
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 | I0009377 | Primary |
Addresses
Primary practice location
17637 Shurmer Rd
Strongsville, OH 44136-6157
Mailing address
17637 Shurmer Rd
Strongsville, OH 44136-6157
Phone (216) 210-4041
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
17637 Shurmer Rd
Strongsville, OH 44136-6157
Phone (216) 210-4041
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
| Oasis Counseling Solutions LLC | Clinical | Current | Accepting new patients |
Locations
13443 Detroit Ave
Ste 1
Lakewood, OH 44107
Interoperability endpoints
- mondiegonzales@tdh.allscriptsdirect.net
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Strongsville, OH
- NPI 1295400042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628812800000",
"number": "1942637665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17637 SHURMER RD",
"city": "STRONGSVILLE",
"state": "OH",
"postal_code": "441366157",
"telephone_number": "216-210-4041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17637 SHURMER RD",
"city": "STRONGSVILLE",
"state": "OH",
"postal_code": "441366157",
"telephone_number": "216-210-4041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALES",
"first_name": "MONDIE",
"credential": "LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-27",
"last_updated": "2021-08-13",
"certification_date": "2021-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": "I0009377",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Strongsville, OH
- Gerald E. Glenn, D.M.D.
- Susan D Glenn, MA, BCBA, COBA
- Carly Goebel, APRN-CNP
- Going Home Medical Holding Inc. (Going Home Medical)
- Gregory Golonka, MD
- Good Soul Nutrition, LLC
- Mary Kate Goodman
- Gordon's Medical Transportation, Inc (Gordon's Adult Daycare, Inc)
- Gordon's Medical Transportation,Inc
- Gordons Medical Transportation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.