Individual provider Active NPI

Megan Charice Monroe, LLMSW

  • Clinical Social Worker
  • Kalamazoo, MI
National Provider Identifier
1104564467
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6851114556 Issued in MI
Practice address
5725 Venture Park Dr Ste B
Kalamazoo, MI 49009-2816
Phone
(269) 459-8889
NPI assigned
May 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6851114556 MI Primary

Addresses

Primary practice location

5725 Venture Park Dr Ste B
Kalamazoo, MI 49009-2816

Mailing address

5006 Coopers Landing Dr Apt 3D
Kalamazoo, MI 49004-9699
Phone (231) 287-0156

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6851114556MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Willow Path Counseling Services CurrentSince May 29, 2022 Accepting new patients

Locations

5725 Venture Park Dr
Ste B
Kalamazoo, MI 49009
Phone (269) 355-0725

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1104564467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5006 COOPERS LANDING DR APT 3D",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490049699",
            "telephone_number": "231-287-0156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5725 VENTURE PARK DR STE B",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490092816",
            "telephone_number": "269-459-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONROE",
        "first_name": "MEGAN",
        "middle_name": "CHARICE",
        "name_prefix": "Mrs.",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-25",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851114556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.