Phillip Clyde Monaco, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904000900 Issued in VA

Practice address

1241 N Main St
Harrisonburg, VA 22802-4632

Phone

(540) 434-1941

NPI assigned

Jun 12, 2009

Sex

Male

Sole proprietor

No

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 VA

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.

• Harrisonburg-Rockingham Community Services Board

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Harrisonburg, VA
  • NPI 1215933817
  Medicare reassignment NPD
• Harrisonburg Rockingham Community Services Board

  • Early Intervention Provider Agency
  • Harrisonburg, VA
  • NPI 1881886133
  NPD (past)

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

{
    "created_epoch": "1244764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612483200000",
    "number": "1053548453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 GREENVILLE AVE",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244015018",
            "telephone_number": "207-341-2304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 N MAIN ST",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228024632",
            "telephone_number": "540-434-1941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONACO",
        "first_name": "PHILLIP",
        "middle_name": "CLYDE",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-12",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904000900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215933817",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shay K Mitchell, MSN, ACNPC, PMHNP-BC
• Amy Beth Mitchem, OTR/L
• John T Mitchem, ATC
• Alison Moats, LCSW
• Kathryn Rexrode Moats, PH.D.
• Kara H Monger, FNP
• Ravyn Jolea Mongold
• Sherry Lynn Mongold, N.P.
• Stephanie Monopoli, FNP-BC
• Mario Montalvo, D.O.

• Clinical Social Worker in Harrisonburg, VA
• Providers in Harrisonburg, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; 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.