Individual provider Active NPI

Monica G Vallarino, LGSW

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1124636626
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LG50083475 Issued in DC
Practice address
1711 Kalorama Rd NW
Washington, DC 20009-2623
Phone
(202) 232-7777
NPI assigned
Jul 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 25875 MD
Clinical Social Worker 1041C0700X LG50083475 DC Primary

Addresses

Primary practice location

1711 Kalorama Rd NW
Washington, DC 20009-2623

Mailing address

2333 Ontario Rd NW
Washington, DC 20009-2627
Phone (240) 948-5121

Other identifiers 2

IdentifierTypeStateIssuer
25875OtherMDMARYLAND BOARD OF SOCIAL WORK
LG50083475OtherDCDC BOARD OF SOCIAL WORK

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://maryscenter.org/behavioral-health/

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
LG50083475DCMDClinical Social Worker
25875MDMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1124636626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 ONTARIO RD NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200092627",
            "telephone_number": "240-948-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 KALORAMA RD NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200092623",
            "telephone_number": "202-232-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLARINO",
        "first_name": "MONICA",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "LGSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-21",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "25875",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LG50083475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND BOARD OF SOCIAL WORK",
            "identifier": "25875",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DC BOARD OF SOCIAL WORK",
            "identifier": "LG50083475",
            "state": "DC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://maryscenter.org/behavioral-health/",
            "affiliation": "N",
            "address_1": "1711 Kalorama Rd NW",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200092623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; 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.