Individual provider Active NPI

Lou Mone, PH.D., L.C.S.W.

  • Clinical Social Worker
  • San Diego, CA
National Provider Identifier
1023025848
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 2244 Issued in CA
Practice address
2850 4TH Ave
San Diego, CA 92103-6208
Phone
(619) 575-1541
Fax
(619) 575-1541
NPI assigned
Aug 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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 LCS 2244 CA Primary
Marriage & Family Therapist 106H00000X MFT 5829 CA

Addresses

Primary practice location

2850 4TH Ave
San Diego, CA 92103-6208

Mailing address

40 Kingston CT
Coronado, CA 92118-3343
Phone (619) 575-1541

Other identifiers 1

IdentifierTypeStateIssuer
CSW022440MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LCS 2244CAMDClinical Social Worker
MFT 5829CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204502400000",
    "number": "1023025848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 KINGSTON CT",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921183343",
            "telephone_number": "619-575-1541",
            "fax_number": "619-575-1541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 4TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921036208",
            "telephone_number": "619-575-1541",
            "fax_number": "619-575-1541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONE",
        "first_name": "LOU",
        "name_prefix": "Dr.",
        "credential": "PH.D., L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2008-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 2244",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT 5829",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CSW022440",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.