Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelly L Mendiola, LCSW

Individual provider Clinical Social Worker · NPI 1619290954

Kelly L Mendiola, LCSW is a Clinical Social Worker in Athens, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2010
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

523 1/2 Prince Ave
Athens, GA 30601-2450
Phone: (706) 425-8900
Fax: (706) 425-8600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CSW004270 (GA)

Record details

NPI number1619290954
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMarch 1, 2010
Last updated in NPPESJune 3, 2010

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