Individual provider Active NPI

Monte Carol Coleman, MSW, LCSW

  • Clinical Social Worker
  • Thousand Oaks, CA
National Provider Identifier
1366730855
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
78828 Issued in CA
Practice address
2791 Agoura Rd
Thousand Oaks, CA 91361-3101
Phone
(866) 389-2727
NPI assigned
Jul 18, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X 78828 CA Primary

Addresses

Primary practice location

2791 Agoura Rd
Thousand Oaks, CA 91361-3101

Mailing address

2791 Agoura Rd
Thousand Oaks, CA 91361-3101
Phone (866) 389-2727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190408002631 CA Practitioner - Clinical Social Worker 5193066769 Reassigns benefits to 4 organizations
I20241022003263 WA Practitioner - Clinical Social Worker 5193066769 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
76.8 of 100Reported as group
Quality
65.04
Improvement activities
40
Cost
86.74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Venice Family Clinic CurrentSince Feb 23, 2019 Accepting new patients
Venice Family Clinic Current Accepting new patients
Minuteclinic Diagnostic Medical Group of San Diego Inc Clinical CurrentSince Oct 13, 2022 Accepting new patients
Venice Family Clinic Current Accepting new patients
Venice Family Clinic CurrentSince Feb 23, 2019 Accepting new patients
Venice Family Clinic Current Accepting new patients
Minuteclinic Diagnostic of Washington, PLLC Clinical CurrentSince Sep 5, 2024 Accepting new patients
Minuteclinic Diagnostic Medical Group of Orange County Inc Clinical CurrentSince Oct 13, 2022 Accepting new patients
Minuteclinic Diagnostic Medical Group of California Inc Clinical CurrentSince Oct 13, 2022 Accepting new patients

Locations

1401 S Baldwin Ave
Arcadia, CA 91007
Phone (626) 321-4210

511 N Hollywood Way
Burbank, CA 91505
Phone (818) 841-0710

2760 Fletcher Pkwy
El Cajon, CA 92020
Phone 6194614411 ext. 8221

4700 Inglewood Blvd
Ste 102
Los Angeles, CA 90230
Phone (310) 664-7901

11428 Kenyon Way
Rancho Cucamonga, CA 91701
Phone (909) 589-4098

2509 Pico Blvd
Santa Monica, CA 90405
Phone (310) 664-7901

921 Pacific Coast Hwy
Seal Beach, CA 90740
Phone (562) 598-0473

33205 US Highway 79
Temecula, CA 92592
Phone (951) 303-3154

604 Rose Ave
Venice, CA 90291
Phone (310) 392-8630

905 Venice Blvd
Venice, CA 90291
Phone (310) 392-8630

2791 Agoura Rd
Westlake Village, CA 91361
Phone 8054954938 ext. 8221

11918 Airport Rd
Everett, WA 98204
Phone (425) 353-7687

33520 21st Ave SW
Federal Way, WA 98023
Phone (253) 838-1611

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 9

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": "1310947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1366730855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2791 AGOURA RD",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913613101",
            "telephone_number": "866-389-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2791 AGOURA RD",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913613101",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "MONTE",
        "middle_name": "CAROL",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-18",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "78828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.