Individual provider Active NPI

Monica Jalbert

  • Clinical Social Worker
  • Hyannis, MA
National Provider Identifier
1184986796
Registry record updated Oct 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
218971 Issued in MA
Practice address
460 W Main St
Hyannis, MA 02601-3653
Phone
(508) 862-5504
Fax
(508) 790-3304
NPI assigned
Jun 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2016

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 218971 MA Primary

Addresses

Primary practice location

460 W Main St
Hyannis, MA 02601-3653

Mailing address

460 W Main St
Hyannis, MA 02601-3653
Phone (508) 862-5504

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20170309001520 MA Practitioner - Clinical Social Worker 5698059772 Practice locations: Orleans, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

165 RT
6A
Orleans, MA 02653-3267
Phone (508) 213-8500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
218971MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1339286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477440000000",
    "number": "1184986796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 W MAIN ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013653",
            "telephone_number": "508-862-5504",
            "fax_number": "508-790-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 W MAIN ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013653",
            "telephone_number": "508-862-5504",
            "fax_number": "508-790-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JALBERT",
        "first_name": "MONICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-10",
        "last_updated": "2016-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "218971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyannis, MA

Sources for this page

Verify at the official NPI Registry.