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MRS. MINDI DAWSON GARDNER MSW, LCSW, CBHCMS
NPI 1598109357
Social Worker - Clinical in Jacksonville, FL

Active since April 24, 2013PECOS Enrolled
11513 KINGS RIDGE CT S, JACKSONVILLE, FL 32218(904) 489-4223 Get Directions Write a Review

NPPES record last updated: September 29, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 11, 2020, Feb 6, 2020, Dec 28, 2018 and 1 more (4 updates tracked since 2018).

About Mrs. Mindi Dawson Gardner Msw, Lcsw, Cbhcms NPPES

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

MRS. MINDI DAWSON GARDNER MSW, LCSW, CBHCMS (NPI 1598109357) is an individual clinical provider in Jacksonville, Florida, licensed in Florida (SW15397) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1598109357
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. MINDI DAWSON GARDNERCredential: MSW, LCSW, CBHCMS
Location Address11513 KINGS RIDGE CT SJacksonville, FL 32218-8125
Mailing Address11513 Kings Ridge Ct SJacksonville, FL 32218-8125 · (904) 489-4223
Phone(904) 489-4223
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateApril 24, 2013
Last NPPES UpdateSeptember 29, 20234 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2023
✔ NPI 1598109357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in FL · SW15397
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License SW15397 (FL)
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X · License CCMS100460-A (FL)
Also ListedCase ManagementTaxonomy 251B00000X · License CCMS100460-A (FL)
11513 KINGS RIDGE CT S, Jacksonville, FL 32218
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Other Names 1

Former Name (1)Mrs. Mindi Gardner

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Mindi Dawson Gardner Msw, Lcsw, Cbhcms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID143569418
PECOS Enrollment IDI20190304001998
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mindi Gardner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ebtide Counseling LLC
11 mi
Clinical
3100 UNIVERSITY BLVD S STE 218
Jacksonville, FL 32216
  • Reassigned Medicare billing, Florida enrollment
  • 3 clinicians in this Medicare group
NPI 1588139380 (904) 338-1259

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32218 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.00 – $171.84
Typical copayment $0.00 (range $14.00 – $42.96)
Most-billed visit code NA
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAURUS MEMORIAL FOUNDATION, LLC
Counselor (Mental Health)
11513 KINGS RIDGE CT S
JACKSONVILLE, FL 32218
Duval County (904) 489-4223

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 Mindi Gardner's NPI number?

The NPI number for Mindi Gardner is 1598109357. It was assigned to this individual provider in the NPPES registry on April 24, 2013. The provider is also known as Mrs. Mindi Gardner.

Where is Mindi Gardner located?

Mindi Gardner practices at 11513 Kings Ridge Ct S, Jacksonville, FL 32218. The listed phone number is (904) 489-4223.

What is Mindi Gardner's specialty?

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

Is Mindi Gardner enrolled in Medicare?

Yes. Mindi Gardner is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mindi Gardner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mindi Gardner reassigns Medicare benefits to Ebtide Counseling LLC (Jacksonville, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mindi Gardner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mindi Gardner was last updated on September 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.