Individual provider Active NPI

Wesley Paul Monroe, C.S.W

  • Clinical Social Worker
  • Elizabethtown, KY
National Provider Identifier
1194099820
Registry record updated Feb 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12122011 Issued in KY
Practice address
204 N Main St
Elizabethtown, KY 42701-1417
Phone
(270) 360-1222
Fax
(270) 360-0333
NPI assigned
Feb 27, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2012

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 12122011 KY Primary

Addresses

Primary practice location

204 N Main St
Elizabethtown, KY 42701-1417

Mailing address

204 N Main St
Elizabethtown, KY 42701-1417
Phone (270) 360-1222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20170523002068 KY Practitioner - Clinical Social Worker 6002183027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elizabethtown Partners in Counseling IncGroup PAC ID 7719911023, 6 clinicians

Practice addresses (Care Compare)

204 N Main St
Elizabethtown, KY 42701-1417
Phone (270) 360-1222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12122011KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabethtown Partners in Counseling Inc CurrentSince May 15, 2017 Accepting new patients

Locations

204 N Main St
Elizabethtown, KY 42701
Phone (270) 360-1222

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1330300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330300800000",
    "number": "1194099820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 N MAIN ST",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427011417",
            "telephone_number": "270-360-1222",
            "fax_number": "270-360-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 N MAIN ST",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427011417",
            "telephone_number": "270-360-1222",
            "fax_number": "270-360-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONROE",
        "first_name": "WESLEY",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "C.S.W",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-27",
        "last_updated": "2012-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "12122011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

Verify at the official NPI Registry.