Individual provider Active NPI

Monica Latreece Byrd, LCSWA

  • Clinical Social Worker
  • Fayetteville, NC
National Provider Identifier
1235948068
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P021323 Issued in NC
Practice address
2829 Arlington Ave
Fayetteville, NC 28303-5403
Phone
(910) 676-8019
Fax
(910) 676-8006
NPI assigned
Jan 6, 2025
Last updated
Jan 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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 P021323 NC Primary

Addresses

Primary practice location

2829 Arlington Ave
Fayetteville, NC 28303-5403

Mailing address

2637 Gressitt Point LN
Fayetteville, NC 28306-3555
Phone (910) 922-9213

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P021323NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Minds Healthcare PLLC Clinical CurrentSince Jan 12, 2025 Accepting new patients

Locations

2829 Arlington Ave
Fayetteville, NC 28303
Phone (910) 461-9291

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": "1736121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1235948068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2637 GRESSITT POINT LN",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283063555",
            "telephone_number": "910-922-9213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 ARLINGTON AVE",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035403",
            "telephone_number": "910-676-8019",
            "fax_number": "910-676-8006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRD",
        "first_name": "MONICA",
        "middle_name": "LATREECE",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-06",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P021323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.