Suzanne A Monda, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

43555400 Issued in WI

Practice address

104 W Linden Dr Ste a
Jefferson, WI 53549-2801

Phone

(920) 674-6688

NPI assigned

Apr 4, 2008

Last updated

Apr 4, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Optum Behavioral Care of Colorado, P.C.

  dba Sherman Counseling of Wisconsin

  • Counseling Psychologist
  • Appleton, WI
  • NPI 1487424826
  NPD
• Forward Choices, LLC

  • Mental Health Counselor
  • Milwaukee, WI
  • NPI 1275791485
  NPD (past)
• Teipner Treatment Homes, Inc

  • Foster Care Agency
  • Jefferson, WI
  • NPI 1154563641
  NPD (past)

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

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207267200000",
    "number": "1033382593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4477 N FREDERICK AVE",
            "city": "SHOREWOOD",
            "state": "WI",
            "postal_code": "532111653",
            "telephone_number": "414-961-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W LINDEN DR STE A",
            "city": "JEFFERSON",
            "state": "WI",
            "postal_code": "535492801",
            "telephone_number": "920-674-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONDA",
        "first_name": "SUZANNE",
        "middle_name": "A",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-04",
        "last_updated": "2008-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "43555400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Miller, LCSW, SAC-IT
• Molly Lynn Miller
• John Mock
• Melinda Suzanne Moe, MSW, APSW
• Sara Moldenhauer
• Melissa Anne Mondragon, RN
• Ronalee Ann Monroe, RN
• Christine Mary Moreira, R.N.
• Mueller Drugs, Inc.
• Alexander Nenov, PHARM.D

• Clinical Social Worker in Jefferson, WI
• Providers in Jefferson, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; 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.

Verify at the official NPI Registry.