Active NPI
Monica Helen Traviss, LISW
- Clinical Social Worker
- Toledo, OH
National Provider Identifier
1023539798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.2103004
- Practice address
- 830 N Summit St
Toledo, OH 43604-1884 - Phone
- (419) 214-3507
- NPI assigned
- Jul 3, 2017
- Last updated
- Jan 20, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801099303 | MI | |
| Clinical Social Worker | 1041C0700X | I.2103004 | OH | Primary |
Addresses
Primary practice location
830 N Summit St
Toledo, OH 43604-1884
Mailing address
8448 Keitha Dr
Lambertville, MI 48144-9638
Phone (734) 648-5821
Other names 1
- Monica Spitler
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I.2103004 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Straight N Arrow Counseling Service, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Monroe, MI
- NPI 1972016004
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642636800000",
"number": "1023539798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8448 KEITHA DR",
"city": "LAMBERTVILLE",
"state": "MI",
"postal_code": "481449638",
"telephone_number": "734-648-5821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 N SUMMIT ST",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436041884",
"telephone_number": "419-214-3507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAVISS",
"first_name": "MONICA",
"middle_name": "HELEN",
"credential": "LISW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-03",
"last_updated": "2022-01-20",
"certification_date": "2022-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801099303",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.2103004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MONICA",
"last_name": "SPITLER",
"credential": "LMSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.