Amber Marie Monahan, LLBSW QMRP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6802085792 Issued in MI

Practice address

1040 S Winter St
Suite 1022
Adrian, MI 49221-3876

Phone

(517) 263-8905

NPI assigned

Jan 7, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Locations

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.

• Lenawee Community Mental Health Authority

  • Community/Behavioral Health Agency
  • Adrian, MI
  • NPI 1962576983
  Medicare reassignment NPD
• Lenawee Community Mental Health Authority

  • Community/Behavioral Health Agency
  • Adrian, MI
  • NPI 1912227570
  NPD (past)

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

{
    "created_epoch": "1357516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357516800000",
    "number": "1033456397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10020 DAY RD",
            "city": "PITTSFORD",
            "state": "MI",
            "postal_code": "492719537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 S WINTER ST",
            "address_2": "SUITE 1022",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492213876",
            "telephone_number": "517-263-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONAHAN",
        "first_name": "AMBER",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LLBSW QMRP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-07",
        "last_updated": "2013-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6802085792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6802085792",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mitchell Home Medical, Inc.
• Rogers L Mitchell Jr.
• Mobility Matters 360, Inc.
• Michael Mohler, LMSW
• Peggy Joan Molter, MA LPC
• Jessie Lee Monahan, LLPC
• Savannah Skyy Monette, MS, LAT, ATC, NR-EMT
• Brandon James Moody I
• Sang-Yoon Moon
• Andrew Moore, PHARMD

• Clinical Social Worker in Adrian, MI
• Providers in Adrian, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; 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.