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KELLY L MENDIOLA LCSW
NPI 1619290954
Social Worker - Clinical in Athens, GA

Active since March 01, 2010
523 1/2 PRINCE AVE, ATHENS, GA 30601(706) 425-8900(706) 425-8600 Get Directions Write a Review

NPPES record last updated: June 3, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly L Mendiola Lcsw NPPES

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

KELLY L MENDIOLA LCSW (NPI 1619290954) is an individual clinical provider in Athens, Georgia, licensed in Georgia (CSW004270) and active in the NPI registry since March 2010.

NPPES Registry Identity

NPI1619290954
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLY L MENDIOLACredential: LCSW
Location Address523 1/2 PRINCE AVEAthens, GA 30601-2450
Mailing Address523 1/2 Prince AveAthens, GA 30601-2450 · (706) 425-8900 · Fax (706) 425-8600
Phone(706) 425-8900
Fax(706) 425-8600
Sole ProprietorYes
Enumeration DateMarch 1, 2010
Last NPPES UpdateJune 3, 2010
✔ NPI 1619290954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in GA · CSW004270
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.
523 1/2 PRINCE AVE, Athens, GA 30601
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Other Providers at the Same Location NPPES 2

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

CLAIRE N. ZIMMERMAN, LLC
Social Worker (Clinical)
523 1/2 PRINCE AVE
ATHENS, GA 30601
Clarke County (706) 425-8900
MRS. HELEN TAYLOR YATES LCSW
Social Worker (Clinical)
523 1/2 PRINCE AVE
ATHENS, GA 30601
Clarke County (705) 425-8900

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 Kelly Mendiola's NPI number?

The NPI number for Kelly Mendiola is 1619290954. It was assigned to this individual provider in the NPPES registry on March 1, 2010.

Where is Kelly Mendiola located?

Kelly Mendiola practices at 523 1/2 Prince Ave, Athens, GA 30601. The listed phone number is (706) 425-8900.

What is Kelly Mendiola'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 Kelly Mendiola was last updated on June 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.