Marimar Rosa Monge, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

103294 Issued in CA

Practice address

7461 N 1St St Ste 102
Fresno, CA 93720-2850

Phone

(510) 345-4379

NPI assigned

May 29, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: marimar.rosa.monge.1@25119.direct.athenahealth.com

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

{
    "created_epoch": "1590710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1215551874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7461 N 1ST ST STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202850",
            "telephone_number": "787-669-1772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7461 N 1ST ST STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202850",
            "telephone_number": "510-345-4379"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 W D St",
            "address_purpose": "LOCATION",
            "city": "Lemoore",
            "state": "CA",
            "postal_code": "932452611",
            "country_code": "US",
            "telephone_number": "787-669-1772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSA MONGE",
        "first_name": "MARIMAR",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-29",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "81878",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "103294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miriam Andrea Roque
• Roman Christopher Roque, DO
• Ronald Regin Roque, MD
• Sandra Roque
• Sawdry S Ros
• Ariel Rosa
• Adda Maria Rosado-Garcia
• Jesus Rosado III, MD
• Meliza Rosales Lopez
• Josean Rosales Rodriguez

• Clinical Social Worker in Fresno, CA
• Providers in Fresno, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.