Monica Sue Jay, LISW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0800149 Issued in OH

Practice address

317 Birchard Ave
Fremont, OH 43420-3011

Phone

(419) 680-0937

Fax

(567) 249-0067

NPI assigned

Jan 19, 2009

Last updated

Apr 23, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Clinical Social Worker

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Monica Jay, MSW, Lisw-S, LLC

  • Clinical Social Worker
  • Fremont, OH
  • NPI 1043676646
  Medicare reassignment NPD Authorized official
• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  OH

  Medicare reassignment NPD
• Monica Jay, MSW, Lisws, LLC

  • Clinical Social Worker
  • Fremont, OH
  • NPI 1609529288
  NPD Authorized official
• Amy Koziarski Lisw LLC

  • Clinical Social Worker
  • Sylvania, OH
  • NPI 1255656773
  NPD
• Community and Rural Health Services

  dba Birchard Medical Center

  • Rural Health Clinic/Center
  • Fremont, OH
  • NPI 1437321239
  NPD (past)

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

{
    "created_epoch": "1232323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1235376823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 BIRCHARD AVE",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434203011",
            "telephone_number": "419-680-0937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 BIRCHARD AVE",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434203011",
            "telephone_number": "419-680-0937",
            "fax_number": "567-249-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAY",
        "first_name": "MONICA",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-19",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "0800149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0530447",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC#",
            "identifier": "271562089004",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terence Jackson
• Pamela Sue Jacobs, RPH
• James Stierwalt, M.D.
• Lindsay James, LISW
• Jamie Hoppe
• Angela R Jeffries, RPH
• Nicole Ruth Jessen, MS, ATC, LAT, PES
• Mandi Elizabeth Jester, MSW, LSW
• Jaclyn Noel Marie Jezak, CNP
• John J. Clarke, D.P.M. (John J. Clarke, D.P.M.,LLC)

• Clinical Social Worker in Fremont, OH
• Providers in Fremont, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.