Individual provider Active NPI

Monica Shonea Crumpler, LCSW

  • Clinical Social Worker
  • Augusta, GA
National Provider Identifier
1285997361
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW007696 Issued in GA
Practice address
3114 Augusta Tech Dr Ste 101
Augusta, GA 30906-3372
Phone
(706) 432-6268
NPI assigned
Jun 22, 2012
Last updated
Nov 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P007380 NC
School Social Worker 1041S0200X 9800006 NC
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X CSW007696 GA Primary

Addresses

Primary practice location

3114 Augusta Tech Dr Ste 101
Augusta, GA 30906-3372

Mailing address

3114 Augusta Tech Dr Ste 101
Augusta, GA 30906-3372
Phone (706) 432-6268

Other practice location 1

416 Fairley St
Laurinburg, NC 28352-3612
Phone (910) 276-8545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220913000430 MD Practitioner - Clinical Social Worker 5092190058 Reassigns benefits to 1 organization
I20240802003136 GA Practitioner - Clinical Social Worker 5092190058 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians

Practice addresses (Care Compare)

3424 Peachtree Rd NE
Suite 2200
Atlanta, GA 30326-1156
Phone (323) 205-7088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P007380NCMDClinical Social Worker
9800006NCMDSchool Social Worker
28829MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Crumplers Counseling and Consulting Services LLC Clinical CurrentSince Jun 14, 2024 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Aug 24, 2022 Accepting new patients
Mental Health Specialty Group PA Multi-Specialty CurrentSince May 1, 2025 Accepting new patients
Evergreen Behavioral Management, Inc. Past Accepting new patients

Locations

3424 Peachtree Rd NE
Ste 2200
Atlanta, GA 30326
Phone (404) 436-2563

3114 Augusta Tech Dr
Ste 101
Augusta, GA 30906
Phone (706) 432-6268

1910 Towne Centre Blvd
Ste 250
Annapolis, MD 21401
Phone (202) 596-8891

Interoperability endpoints

  • Direct secure messaging: monicacrumpler@tdh.allscriptsdirect.net

Organizations & group practices 5

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": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1285997361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3114 AUGUSTA TECH DR STE 101",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309063372",
            "telephone_number": "706-432-6268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3114 AUGUSTA TECH DR STE 101",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309063372",
            "telephone_number": "706-432-6268"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "416 Fairley St",
            "address_purpose": "LOCATION",
            "city": "Laurinburg",
            "state": "NC",
            "postal_code": "283523612",
            "country_code": "US",
            "telephone_number": "910-276-8545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUMPLER",
        "first_name": "MONICA",
        "middle_name": "SHONEA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-22",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P007380",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NC",
            "license": "9800006",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW007696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.