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PROGRESSIVE HEALTHCARE OF BREVARD, LLC
NPI 1134769698
Social Worker - Clinical in Melbourne, FL

Active since January 13, 2020
5972 GOLETA CIR, MELBOURNE, FL 32940(321) 615-0990(888) 341-8272 Get Directions Write a Review

NPPES record last updated: January 13, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Progressive Healthcare Of Brevard, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROGRESSIVE HEALTHCARE OF BREVARD, LLC (NPI 1134769698) is a healthcare organization registered as a clinical in Melbourne, Florida and active in the NPI registry since January 2020. The organization lists Gwen Mundorf, Therapist, as its authorized official.

NPPES Registry Identity

NPI1134769698
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NamePROGRESSIVE HEALTHCARE OF BREVARD, LLC
Location Address5972 GOLETA CIRMelbourne, FL 32940-8035
Mailing Address5972 Goleta CirMelbourne, FL 32940-8035 · (321) 615-0990 · Fax (888) 341-8272
Phone(321) 615-0990
Fax(888) 341-8272
Organization SubpartNo
Authorized OfficialGwen MundorfTherapist · (321) 615-0990
Enumeration DateJanuary 13, 2020
✔ NPI 1134769698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
5972 GOLETA CIR, Melbourne, FL 32940
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Progressive Healthcare Of Brevard, LLC's NPI number?

The NPI number for Progressive Healthcare Of Brevard, LLC is 1134769698. It was assigned to this organization in the NPPES registry on January 13, 2020.

Where is Progressive Healthcare Of Brevard, LLC located?

Progressive Healthcare Of Brevard, LLC is located at 5972 Goleta Cir, Melbourne, FL 32940. The listed phone number is (321) 615-0990.

What is Progressive Healthcare Of Brevard, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Progressive Healthcare Of Brevard, LLC was last updated on January 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.