Individual provider Active NPI

Ramona Elizabeth Moncibais, MSW, LCSW

  • Clinical Social Worker
  • Pueblo, CO
National Provider Identifier
1366211617
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09930126 Issued in CO
Practice address
1834 Vinewood LN Ste 205
Pueblo, CO 81005-2559
Phone
(719) 565-7928
NPI assigned
Dec 28, 2023
Last updated
Apr 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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 CSW.09930126 CO Primary

Addresses

Primary practice location

1834 Vinewood LN Ste 205
Pueblo, CO 81005-2559

Mailing address

1834 Vinewood LN Ste 205
Pueblo, CO 81005-2559
Phone (719) 565-7928

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20240524000399 CO Practitioner - Clinical Social Worker 1850733866 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1834 Vinewood LN
Suite 205
Pueblo, CO 81005-2559
Phone (719) 565-7928

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
For the Love of Me Clinical CurrentSince Mar 30, 2024 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1703721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1366211617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1834 VINEWOOD LN STE 205",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810052559",
            "telephone_number": "719-565-7928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1834 VINEWOOD LN STE 205",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810052559",
            "telephone_number": "719-565-7928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONCIBAIS",
        "first_name": "RAMONA",
        "middle_name": "ELIZABETH",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-28",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09930126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.