Individual provider Active NPI

Monica Marie Mills-Mattox, LCSW

  • Clinical Social Worker
  • New Orleans, LA
National Provider Identifier
1003847799
Registry record updated Aug 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
33083 Issued in TX
Practice address
1050 S Jeff Davis Pkwy Ste 240
New Orleans, LA 70125-1250
Phone
(832) 725-0586
Fax
(888) 977-1299
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 33083 TX Primary
Clinical Social Worker 1041C0700X 12855 LA

Addresses

Primary practice location

1050 S Jeff Davis Pkwy Ste 240
New Orleans, LA 70125-1250

Mailing address

1050 S Jeff Davis Pkwy Ste 240
New Orleans, LA 70125-1250
Phone (832) 725-0586

Other names 1

  • Ms. Monica Marie Mills Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150108000926 LA Practitioner - Clinical Social Worker 7214954155 Practice locations: New Orleans, LA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12855LAMDClinical Social Worker
33083TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Journey to Recovery LLC Clinical Current Accepting new patients
E R American Healthcare Services CurrentSince Sep 24, 2023 Accepting new patients
Assurasource LTD Clinical PastSince Apr 10, 2022 Accepting new patients

Locations

2815 Wtc Jester Blvd
Ste 101
Houston, TX 77018
Phone (713) 812-9322

2815 W T C Jester Blvd
Ste 102
Houston, TX 77018
Phone (832) 413-1107

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439164800000",
    "number": "1003847799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 S JEFF DAVIS PKWY STE 240",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701251250",
            "telephone_number": "832-725-0586",
            "fax_number": "888-977-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 S JEFF DAVIS PKWY STE 240",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701251250",
            "telephone_number": "832-725-0586",
            "fax_number": "888-977-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS-MATTOX",
        "first_name": "MONICA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2015-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "33083",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "12855",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONICA",
            "last_name": "MILLS",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.