Jon Scott Moneymaker, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904002565 Issued in VA

Practice address

175 Sweeney B LVD.
Hampton, VA 23601

Phone

(757) 764-1127

NPI assigned

Nov 19, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Clinical Social Worker

Education

Other, 1991

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Black Pine Counseling CenterGroup PAC ID 0345592226, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Black Pine Counseling Center

  • Professional Counselor
  • Newport News, VA
  • NPI 1578014395
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1637280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656028800000",
    "number": "1295492775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 BRIGHTWOOD TER",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236903518",
            "telephone_number": "757-329-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 SWEENEY B LVD.",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "23601",
            "telephone_number": "757-764-1127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONEYMAKER",
        "first_name": "JON",
        "middle_name": "SCOTT",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-19",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0710000191",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904002565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hamdi O Mohamed, DDS
• Edu Abdulwehab Mohammed, M.D
• Faisal Mohsin, M.D.
• Nancy Roche Mollner, ED.S.
• Monarch Clinical & Consulting Services
• Willette Monk, HEALTH EDUCATOR
• Cheryl Monroe, PT
• Nicole Angela Monroe
• Roslyn Leeandra Monroe, PHARMD
• Ana M Montanez Concepcion, MD

• Clinical Social Worker in Hampton, VA
• Providers in Hampton, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.