Active NPI
Monique Nahrwold
- Clinical Social Worker
- Virginia Beach, VA
National Provider Identifier
1306690243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0906015242
- Practice address
- 297 Independence Boulevard Ste 300
Pembroke 6 Building
Virginia Beach, VA 23462-2911 - Phone
- (757) 385-0850
- Fax
- (757) 473-2136
- NPI assigned
- Apr 16, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0906015242 | Primary |
Addresses
Primary practice location
297 Independence Boulevard Ste 300
Pembroke 6 Building
Virginia Beach, VA 23462-2911
Mailing address
297 Independence Blvd
Pembroke 6 Ste 300
Virginia Beach, VA 23462
Phone (757) 385-0850
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861562472 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Virginia Beach | Single Specialty | Past | Accepting new patients |
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Virginia Beach, VA
- NPI 1861562472
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713225600000",
"number": "1306690243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "297 INDEPENDENCE BLVD",
"address_2": "PEMBROKE 6 STE 300",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "23462",
"telephone_number": "757-385-0850",
"fax_number": "757-473-2136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "297 INDEPENDENCE BOULEVARD STE 300",
"address_2": "PEMBROKE 6 BUILDING",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234622911",
"telephone_number": "757-385-0850",
"fax_number": "757-473-2136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAHRWOLD",
"first_name": "MONIQUE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-16",
"last_updated": "2024-04-16",
"certification_date": "2024-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": "0906015242",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1861562472",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.