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

Michelle Bundrum

Individual provider Clinical Social Worker · NPI 1043679194

Michelle Bundrum is a Clinical Social Worker in Kenansville, Florida. Qualified in 2015, 11 years ago. Practices with Grow Healthcare Group PA, a 1,020-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
11
Licensed in
FL
In the registry since
2016
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Practice location Address checks out

1450 S Kenansville Rd
Kenansville, FL 34739-9637
Phone: (407) 770-9291
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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 SW15749 (FL)

Record details

NPI number1043679194
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 17, 2016
Last updated in NPPESMarch 23, 2020
Certification dateMarch 23, 2020

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Grow Healthcare Group Pa — 1020 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Colleagues at Grow Healthcare Group PA

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 1020 clinicians in the practice; 12 are shown here.