Active NPI
Linda Jean Monahan, LCSW-R CASAC
- Social Worker
- Patchogue, NY
National Provider Identifier
1306977343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 068054
- Practice address
- 110 N Ocean Ave
Suite LL1
Patchogue, NY 11772-2015 - Phone
- (631) 561-8382
- Fax
- (631) 727-2667
- NPI assigned
- Mar 9, 2007
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 068054 | NY | Primary |
Addresses
Primary practice location
110 N Ocean Ave
Suite LL1
Patchogue, NY 11772-2015
Mailing address
110 N Ocean Ave
Suite LL1
Patchogue, NY 11772-2015
Phone (631) 561-8382
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: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Apr 1, 2017 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 068054 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Town of Babylon - Division of Drug and Alcohol Services | 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.
-
- Community/Behavioral Health Agency
- North Babylon, NY
- NPI 1588764401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421107200000",
"number": "1306977343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 N OCEAN AVE",
"address_2": "SUITE LL1",
"city": "PATCHOGUE",
"state": "NY",
"postal_code": "117722015",
"telephone_number": "631-561-8382",
"fax_number": "631-727-2667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 N OCEAN AVE",
"address_2": "SUITE LL1",
"city": "PATCHOGUE",
"state": "NY",
"postal_code": "117722015",
"telephone_number": "631-561-8382",
"fax_number": "631-727-2667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONAHAN",
"first_name": "LINDA",
"middle_name": "JEAN",
"name_prefix": "Ms.",
"credential": "LCSW-R CASAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-09",
"last_updated": "2015-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "068054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Patchogue, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.