Moira Monaghan
Individual provider Active NPI Clinical Social Worker · Holton, MI
NPI 1043876808 · NPPES record last updated Aug 24, 2020
Key facts
- NPI
- 1043876808
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 6801058027 (MI)
- Practice address
- 6477 Syers Rd
Holton, MI 49425-7508 - Phone
- (231) 733-6820
- NPI assigned
- May 16, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Counseling Center of West Michigan LLC
Practice addresses (Care Compare)
360 E Beltline Ave NE
Suite 100
Grand Rapids, MI 49506-1214
Phone (616) 805-3660
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191009002399 | MI | Practitioner - Clinical Social Worker | 0648501478 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling Center of West Michigan, LLC | Current |
Accepting new patients | |
| Hackley Community Care Center Inc | Current |
Accepting new patients | |
| BMSC Mi LLC | Clinical | Current |
Accepting new patients |
| Virtuwell Therapy, LLC | Past |
Accepting new patients |
Locations
10204 Bode St
Ste B
Plainfield, IL 60585
Phone (630) 229-6462
600 S Beacon Blvd
Ste A2
Grand Haven, MI 49417
600 S Beacon Blvd
Grand Haven, MI 49417
Phone (616) 691-6764
6117 Charlevoix Woods Ct SE
Grand Rapids, MI 49546
Phone (616) 954-2366
360 E Beltline Ave NE
Ste 100
Grand Rapids, MI 49506
Phone (616) 566-1021
333 Bridge St NW
Ste 1120
Grand Rapids, MI 49504
Phone 61680536601005
6477 Syers Rd
Holton, MI 49425
Phone (231) 733-6820
65 S Main St
Ste A
Rockford, MI 49341
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801058027 | MI | Yes |
Addresses
Primary practice location
6477 Syers Rd
Holton, MI 49425-7508
Mailing address
1717 Waverly Ave
Grand Haven, MI 49417-2354
Phone (616) 581-1283
Other practice location 1
360 E Beltline Ave NE Ste 100
Grand Rapids, MI 49506-1214
Phone (616) 805-3660
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043876808 | Medicaid | MI |
Other names
- Moira Pearson
Other providers in Holton, MI
- Hackley Community Care Center Inc
- Hackley Community Care Center Inc
- Lakeshore Care Corp
- Lakeshore Care Corp
- Jaylene Marsh
- Kennedy Porter
- Janet Carol Smith
- Gabriayle Stapf
All providers in Holton, MI · Clinical Social Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.