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

Mrs. Mindi Dawson Gardner, MSW, LCSW, CBHCMS

Individual provider Case Manager/Care Coordinator · NPI 1598109357

Mrs. Mindi Dawson Gardner, MSW, LCSW, CBHCMS is a Clinical Social Worker in Jacksonville, Florida. Qualified in 2010, 16 years ago. Practices with Ebtide Counseling LLC, a 2-clinician group. Licensed in Florida.

Years since qualifying
16
Licensed in
FL
In the registry since
2013
Specialties on file
4
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
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

11513 Kings Ridge Ct S
Jacksonville, FL 32218-8125
Phone: (904) 489-4223
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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 SW15397 (FL)
Case Manager/Care Coordinator Taxonomy 171M00000X · Licence CCMS100460-A (FL)
Case Management Agency Taxonomy 251B00000X · Licence CCMS100460-A (FL)
Mental Health Counselor Taxonomy 101YM0800X · Licence SW15397 (FL)

Record details

NPI number1598109357
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LCSW , CBHCMS
Sole proprietorYes
NPI enumeratedApril 24, 2013
Last updated in NPPESSeptember 29, 2023
Certification dateSeptember 29, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Ebtide Counseling Llc — 2 clinicians
Accepts Medicare assignment Not indicated

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