Individual provider Active NPI

Deena Monczyk

  • Social Worker
  • Baltimore, MD
National Provider Identifier
1255738738
Registry record updated Nov 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
18830 Issued in MD
Practice address
2804 Marnat Rd Apt D
Baltimore, MD 21209-2417
Phone
(917) 446-7486
NPI assigned
Nov 26, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 18830 MD Primary

Addresses

Primary practice location

2804 Marnat Rd Apt D
Baltimore, MD 21209-2417

Mailing address

2804 Marnat Rd Apt D
Baltimore, MD 21209-2417
Phone (917) 446-7486

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20160126000632 NY Practitioner - Clinical Social Worker 1557664547 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alan Winder Psychological Services PCGroup PAC ID 3678726353, 2 clinicians

Practice addresses (Care Compare)

155 Dean St
Brooklyn, NY 11217-2213
Phone (718) 534-0689

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18830MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Alan Winder Psychological Services PC CurrentSince Dec 10, 2015 Accepting new patients

Locations

155 Dean St
Brooklyn, NY 11217
Phone (718) 694-6700

11915 27th Ave
Flushing, NY 11354
Phone (631) 681-4754

645 W Broadway
Long Beach, NY 11561
Phone (516) 431-4400

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416960000000",
    "number": "1255738738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 MARNAT RD APT D",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212092417",
            "telephone_number": "917-446-7486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2804 MARNAT RD APT D",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212092417",
            "telephone_number": "917-446-7486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONCZYK",
        "first_name": "DEENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-26",
        "last_updated": "2014-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "18830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.