Crystal Ashley Monnin, LLMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801106527 Issued in MI

Practice address

109 N 3Rd St
Niles, MI 49120-2655

Phone

(269) 683-8972

Fax

(269) 683-0449

NPI assigned

Feb 24, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Crystal Ashley Willocks Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Haelan Counseling Center

  • Clinical Psychologist
  • Niles, MI
  • NPI 1033343843
  NPD

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

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1255965869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16244 MERSON CT",
            "city": "BUCHANAN",
            "state": "MI",
            "postal_code": "491079455",
            "telephone_number": "574-276-3427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N 3RD ST",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491202655",
            "telephone_number": "269-683-8972",
            "fax_number": "269-683-0449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONNIN",
        "first_name": "CRYSTAL",
        "middle_name": "ASHLEY",
        "name_prefix": "Miss",
        "credential": "LLMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-24",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801106527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "haelancenter@comcast.net",
            "affiliation": "N",
            "endpointDescription": "Center email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "109 N 3rd St",
            "city": "Niles",
            "state": "MI",
            "country_code": "US",
            "postal_code": "491202655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "WILLOCKS",
            "middle_name": "ASHLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Natalie Millin
• Corey E Milner
• Emily A Mitchell, D.O.
• Toby Andrew Mitchell, D.C.
• Dylan Mondschein
• Cicely Moreno, M.D.
• Lee Morris
• Jessica Morse, COMMUNITY HEALTH WOR
• Saundra L Mortenson, LCSW
• Charles Andrew Mosimbwa, M.D.

• Clinical Social Worker in Niles, MI
• Providers in Niles, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.