Individual provider Active NPI

Monique Adams

  • Clinical Social Worker
  • Hood River, OR
National Provider Identifier
1215244116
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
A4917 Issued in OR
Practice address
2149 W. Cascade Avenue, 106a #8
Hood River, OR 97031
Phone
(541) 645-3505
NPI assigned
Sep 13, 2010
Last updated
Jul 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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 A4917 OR Primary
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

2149 W. Cascade Avenue, 106a #8
Hood River, OR 97031

Mailing address

2149 Cascade Ave Ste 106a
Hood River, OR 97031-1087
Phone (541) 645-3505

Other practice location 1

1210 Dry Hollow Rd Ste 6
The Dalles, OR 97058-3167
Phone (415) 645-3505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 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
I20210802001737 OR Practitioner - Clinical Social Worker 3173927910 Reassigns benefits to 1 organization
Practice locations: Hood River, OR
I20221214001033 WA Practitioner - Clinical Social Worker 3173927910 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

216 Cascade Ave
Suite 225
Hood River, OR 97031-2241
Phone (541) 645-3505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A4917ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Columbia Medical Center CurrentSince Aug 1, 2021 Accepting new patients
Mid-Columbia Medical Center Clinical Current Accepting new patients
County of Skamania CurrentSince Nov 17, 2022 Accepting new patients
Mid-Columbia Medical Center CurrentSince Aug 1, 2021 Accepting new patients
Mid-Columbia Center for Living Clinical PastSince Sep 2, 2014 Accepting new patients
Mid-Columbia Center for Living Past Accepting new patients

Locations

1620 E 12th St
The Dalles, OR 97058
Phone (541) 296-9151

1805 E 19th St
The Dalles, OR 97058
Phone (541) 296-2201

551 Lone Pine Blvd
The Dalles, OR 97058
Phone (541) 296-7202

Organizations & group practices 6

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": "1284336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1215244116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2149 CASCADE AVE STE 106A",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970311087",
            "telephone_number": "541-645-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2149 W. CASCADE AVENUE, 106A #8",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "97031",
            "telephone_number": "541-645-3505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1210 Dry Hollow Rd Ste 6",
            "address_purpose": "LOCATION",
            "city": "The Dalles",
            "state": "OR",
            "postal_code": "970583167",
            "country_code": "US",
            "telephone_number": "415-645-3505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "MONIQUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-13",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "A4917",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hood River, OR

Sources for this page

Verify at the official NPI Registry.