Individual provider · Type 1 NPI

Mireya Mondragon

Clinical Social Worker · Wauchula, FL

NPI number 1801772165 Active

Practice location

115 K D Revell Rd
Wauchula, FL 33873-2051

Call (863) 773-2226 Map

Mailing address

2026 Crystal Wood Dr
Lakeland, FL 33801-6884

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1801772165

Mireya Mondragon's National Provider Identifier is 1801772165, issued on Aug 13, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wauchula, FL. The record was last updated on Aug 13, 2025.