GWEN MUNDORF (MSW, LCSW) – Clinical Social Worker, NPI 1295967776
Clinical Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,376 CLINICAL SOCIAL WORKER in FL
Provider Addresses for GWEN MUNDORF (MSW, LCSW)
3270 SUNTREE BLVD STE 207
MELBOURNE, FL 329407505
Phone: (321) 615-0990
Fax: (888) 341-8272
Type: Location
3903 DeQuattro Dr Unit 5102
Rockledge, FL 329557512
Phone: (321) 615-0990
Fax: (888) 341-8272
Type: Location
North Courtenay Parkway, Merritt Island, Brevard County, Florida, 32952, United States
SUITE C
MERRITT ISLAND, FL 329537241
Phone: (321) 615-1451
Fax: (888) 341-8272
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2014-02-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140226002051 | I | Clinical Social Worker | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90832 | Psychotherapy, 30 minutes | 122 | 11 | $0 |
| 90837 | Psychotherapy, 1 hour | 114 | 18 | $0 |
| 90791 | Psychiatric diagnostic evaluation | 14 | 13 | $0 |
Insurance plans in this area (ZIP 32940)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Psychologist | MT | |
| Clinical Psychologist | LA | |
| Clinical Social Worker | FL | |
| Nurse Practitioner | FL | |
| Clinical Social Worker | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Certified Nurse Midwife (Cnm) | FL | |
| Clinical Social Worker | MN |
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