Active NPI
Monique McKay McMillan, LMSW
- Clinical Social Worker
- Midland, MI
National Provider Identifier
1295331098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801085799
- Practice address
- 4401 Campus Ridge Dr Ste 2000
Midland, MI 48640-6125 - Phone
- (989) 837-9250
- Fax
- (989) 837-9255
- NPI assigned
- Dec 7, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801085799 | MI | Primary |
| School Social Worker | 1041S0200X | 6801085799 | MI |
Addresses
Primary practice location
4401 Campus Ridge Dr Ste 2000
Midland, MI 48640-6125
Mailing address
4401 Campus Ridge Dr Ste 2000
Midland, MI 48640-6125
Phone (989) 837-9250
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6801085799 | Other | MI | MASTER'S OF SOCIAL WORK LICENSE/CLINICAL LICENSE |
Other names 1
- Monique Reuter
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
Interoperability endpoints
- moniquereuter@tdh.allscriptsdirect.net
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": "1607299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710979200000",
"number": "1295331098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4401 CAMPUS RIDGE DR STE 2000",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486406125",
"telephone_number": "989-837-9250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4401 CAMPUS RIDGE DR STE 2000",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486406125",
"telephone_number": "989-837-9250",
"fax_number": "989-837-9255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMILLAN",
"first_name": "MONIQUE",
"middle_name": "MCKAY",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-07",
"last_updated": "2024-03-21",
"certification_date": "2024-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801085799",
"primary": true
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "MI",
"license": "6801085799",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASTER'S OF SOCIAL WORK LICENSE/CLINICAL LICENSE",
"identifier": "6801085799",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MONIQUE",
"last_name": "REUTER",
"credential": "LMSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Midland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.