Individual provider Active NPI

Shantreirra Monroe, LCSW

  • Social Worker
  • Lauderhill, FL
National Provider Identifier
1194169474
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
8311 Issued in TN
Practice address
7860 W Commercial Blvd Stee 200 #634
Lauderhill, FL 33351
Phone
(561) 601-9738
NPI assigned
Apr 17, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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 SW 10681 FL
Social Worker 104100000X 8311 TN Primary

Addresses

Primary practice location

7860 W Commercial Blvd Stee 200 #634
Lauderhill, FL 33351

Mailing address

7860 W Commercial Blvd Stee 200 #634
Lauderhill, FL 33351
Phone (561) 601-9738

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180803002365 FL Practitioner - Clinical Social Worker 1951659168 Reassigns benefits to 2 organizations
I20231012001140 TN Practitioner - Clinical Social Worker 1951659168

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8311TNMDSocial Worker
SW 10681FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Lisa Friedman L C S W Inc Clinical CurrentSince Jan 1, 2019 Accepting new patients
Direct Access Counseling & Supportive Services, LLC Social Worker CurrentSince May 21, 2018 Accepting new patients
Ultima Rehab-FL LLC PastSince May 29, 2019 Accepting new patients

Locations

390 Pondella Rd
Ste 9
North Ft Myers, FL 33903
Phone (239) 652-0260

7376 NW 5th St
Plantation, FL 33317
Phone (954) 461-5690

9715 W Broward Blvd
Plantation, FL 33324
Phone (954) 741-1099

Interoperability endpoints

  • Direct secure messaging: shantreirramonroe@tdh.allscriptsdirect.net

Organizations & group practices 4

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": "1366156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1194169474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7860 W COMMERCIAL BLVD STEE 200 #634",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "33351",
            "telephone_number": "561-601-9738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7860 W COMMERCIAL BLVD STEE 200 #634",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "33351",
            "telephone_number": "561-601-9738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONROE",
        "first_name": "SHANTREIRRA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-17",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 10681",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TN",
            "license": "8311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderhill, FL

Sources for this page

Verify at the official NPI Registry.