Individual provider Active NPI

Taylor Monheim, MSW, LISW

  • Clinical Social Worker
  • Barberton, OH
National Provider Identifier
1164076527
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2203756 Issued in OH
Practice address
524 W Park Ave
Barberton, OH 44203-2580
Phone
(330) 753-1096
NPI assigned
Jul 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X I.2203756 OH
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X S.2004901 OH
Clinical Social Worker 1041C0700X I.2203756 OH Primary

Addresses

Primary practice location

524 W Park Ave
Barberton, OH 44203-2580

Mailing address

524 W Park Ave
Barberton, OH 44203-2580
Phone (330) 753-1096

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20240613001697 OH Practitioner - Clinical Social Worker 9638612039 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S.2004901OHMDMental Health Counselor
I.2203756OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Child Guidance & Family Solutions CurrentSince Apr 28, 2024 Accepting new patients
Akron Children'S Hospital Current Accepting new patients
Child Guidance & Family Solutions PastSince Jul 28, 2019 Accepting new patients

Locations

87 N Canton Rd
Akron, OH 44305
Phone (330) 733-7993

18 N Forge St
Akron, OH 44304
Phone (330) 762-0591

524 W Park Ave
Barberton, OH 44203
Phone (330) 753-1096

Interoperability endpoints

  • Direct secure messaging: tmonheim122041@direct.chmca.org

Organizations & group practices 3

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": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1164076527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 W PARK AVE",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "442032580",
            "telephone_number": "330-753-1096",
            "fax_number": "330-753-1278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 W PARK AVE",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "442032580",
            "telephone_number": "330-753-1096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONHEIM",
        "first_name": "TAYLOR",
        "credential": "MSW, LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-24",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "I.2203756",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "S.2004901",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2203756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barberton, OH

Sources for this page

Verify at the official NPI Registry.