Individual provider Active NPI

Maria del Pilar Monta, LMSW, ACSW

  • Clinical Social Worker
  • Okemos, MI
National Provider Identifier
1326018045
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801057169 Issued in MI
Practice address
4129 Okemos Rd
Suite 6
Okemos, MI 48864-2822
Phone
(517) 706-0099
Fax
(517) 706-0099
NPI assigned
Jan 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801057169 MI Primary

Addresses

Primary practice location

4129 Okemos Rd
Suite 6
Okemos, MI 48864-2822

Mailing address

4129 Okemos Rd
Suite 6
Okemos, MI 48864-2822
Phone (517) 706-0099

Other identifiers 2

IdentifierTypeStateIssuer
455576000OtherMIMAGELLAN PROVIDER
OCOtherMIBCBS PROVIDER ID NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20040122000782 MI Practitioner - Clinical Social Worker 5092617894 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801057169MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Edward W. Sparrow Hospital Association Clinical CurrentSince Aug 1, 2016 Accepting new patients
Edward W Sparrow Hospital Association Clinical CurrentSince Aug 1, 2016 Accepting new patients
Family Psychiatric Consultants, PC Clinical Past Accepting new patients
VLSR Madireddy MD PC PastSince Jun 5, 2017 Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

2035 Asher Ct
Ste 200
East Lansing, MI 48823
Phone (517) 337-8580

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

1210 W Saginaw St
Fl 2
Lansing, MI 48915
Phone (517) 364-7575

Organizations & group practices 4

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": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1326018045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4129 OKEMOS RD",
            "address_2": "SUITE 6",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488642822",
            "telephone_number": "517-706-0099",
            "fax_number": "517-706-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4129 OKEMOS RD",
            "address_2": "SUITE 6",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488642822",
            "telephone_number": "517-706-0099",
            "fax_number": "517-706-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTA",
        "first_name": "MARIA DEL PILAR",
        "name_prefix": "Ms.",
        "credential": "LMSW, ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-25",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801057169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN PROVIDER",
            "identifier": "455576000",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID NUMBER",
            "identifier": "OC",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Okemos, MI

Sources for this page

Verify at the official NPI Registry.