Individual provider Active NPI

Monica Kolb Andrews, MSS

  • Clinical Social Worker
  • Portland, OR
National Provider Identifier
1316312432
Registry record updated Dec 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L5162 Issued in OR
Practice address
5817 N Princeton St
Portland, OR 97203-5133
Phone
(503) 621-7055
NPI assigned
Dec 1, 2015
Last updated
Dec 1, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X L5162 OR Primary
Clinical Social Worker 1041C0700X LW60003992 WA

Addresses

Primary practice location

5817 N Princeton St
Portland, OR 97203-5133

Mailing address

5817 N Princeton St
Portland, OR 97203-5133
Phone (503) 621-7055

Other names 1

  • Monica Marie Kolb Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
L5162ORMDClinical Social Worker
LW60003992WAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1448928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448928000000",
    "number": "1316312432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5817 N PRINCETON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972035133",
            "telephone_number": "503-621-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5817 N PRINCETON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972035133",
            "telephone_number": "503-621-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREWS",
        "first_name": "MONICA",
        "middle_name": "KOLB",
        "name_prefix": "Ms.",
        "credential": "MSS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-01",
        "last_updated": "2015-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L5162",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60003992",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONICA",
            "last_name": "KOLB",
            "middle_name": "MARIE",
            "credential": "MSS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.