Active NPI
Monedia Elzey, LCSW
- Clinical Social Worker
- Plymouth Meeting, PA
National Provider Identifier
1124049077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW014834
- Practice address
- 5036 Camburn Rd
Plymouth Meeting, PA 19462-1256 - Phone
- (267) 303-7365
- Fax
- (484) 532-7056
- NPI assigned
- Jul 23, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW014834 | PA | Primary |
| Clinical Social Worker | 1041C0700X | 0904004567 | VA | |
| Marriage & Family Therapist | 106H00000X | MF000438 | PA |
Addresses
Primary practice location
5036 Camburn Rd
Plymouth Meeting, PA 19462-1256
Mailing address
5036 Camburn Rd
Plymouth Meeting, PA 19462-1256
Phone (484) 532-7056
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904004567 | VA | MD | Clinical Social Worker |
| MF000438 | PA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221696000000",
"number": "1124049077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5036 CAMBURN RD",
"city": "PLYMOUTH MEETING",
"state": "PA",
"postal_code": "194621256",
"telephone_number": "484-532-7056",
"fax_number": "484-532-7056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5036 CAMBURN RD",
"city": "PLYMOUTH MEETING",
"state": "PA",
"postal_code": "194621256",
"telephone_number": "267-303-7365",
"fax_number": "484-532-7056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELZEY",
"first_name": "MONEDIA",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-23",
"last_updated": "2008-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW014834",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904004567",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "PA",
"license": "MF000438",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth Meeting, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.