Individual provider Active NPI

Monica May Johnson, LMSW

  • Social Worker
  • Grand Rapids, MI
National Provider Identifier
1184808263
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801084746 Issued in MI
Practice address
730 Cesar E Chavez Ave SW
Grand Rapids, MI 49503-4920
Phone
(616) 685-8400
Fax
(616) 742-1322
NPI assigned
Dec 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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 6801084746 MI
Social Worker 104100000X 6801084746 MI Primary

Addresses

Primary practice location

730 Cesar E Chavez Ave SW
Grand Rapids, MI 49503-4920

Mailing address

3245 Peshtigo Dr SW
Grandville, MI 49418-3019
Phone (616) 446-0876

Other practice location 1

3245 Peshtigo Dr SW
Grandville, MI 49418-3019
Phone (616) 446-0876

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20130424000904 MI Practitioner - Clinical Social Worker 6608012349 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Journey of HopeGroup PAC ID 3173941820, 2 clinicians

Practice addresses (Care Compare)

24110 Meadowbrook Rd
Suite 114
Novi, MI 48375-3406
Phone (248) 921-4614

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Health Saint Mary'S Medical Group CurrentSince Oct 26, 2018 Accepting new patients
Advantage Health/Saint Mary'S Medical Group Current Accepting new patients
Mercy Physician Network CurrentSince May 30, 2022 Accepting new patients
Mercy Health Partners - Physician Specialist CurrentSince May 30, 2022 Accepting new patients
Journey of Hope Social Worker CurrentSince Sep 18, 2023 Accepting new patients
Advantage Health Saint Mary'S Medical Group CurrentSince Oct 26, 2018 Accepting new patients
Mercy Physician Network CurrentSince May 30, 2022 Accepting new patients

Locations

10047 Crossroad Ct SE
Caledonia, MI 49316
Phone (616) 685-8850

730 Cesar E Chavez Ave SW
Grand Rapids, MI 49503
Phone (616) 685-8400

1900 44th St SE
Kentwood, MI 49508
Phone (616) 685-8500

1500 E Sherman Blvd
Muskegon, MI 49444
Phone (231) 672-3027

2006 Holton Rd
North Muskegon, MI 49445
Phone (231) 672-3333

1150 E Sherman Blvd
Ste 1175
Norton Shores, MI 49444
Phone (231) 672-6740

24110 Meadowbrook Rd
Ste 114
Novi, MI 48375
Phone (248) 270-2829

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13864/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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": "1198454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1184808263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3245 PESHTIGO DR SW",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494183019",
            "telephone_number": "616-446-0876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 CESAR E CHAVEZ AVE SW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034920",
            "telephone_number": "616-685-8400",
            "fax_number": "616-742-1322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3245 Peshtigo Dr SW",
            "address_purpose": "LOCATION",
            "city": "Grandville",
            "state": "MI",
            "postal_code": "494183019",
            "country_code": "US",
            "telephone_number": "616-446-0876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MONICA",
        "middle_name": "MAY",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-24",
        "last_updated": "2022-08-23",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801084746",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801084746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.