Individual provider Active NPI

Monica Kathleen Whalen, LMSW

  • Clinical Social Worker
  • Newark, NY
National Provider Identifier
1447371992
Registry record updated Jul 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
076841 Issued in NY
Practice address
150 Van Buren St
Newark, NY 14513-1238
Phone
(315) 331-7741
NPI assigned
Apr 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2009

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 064562 NY
Clinical Social Worker 1041C0700X 076841 NY Primary

Addresses

Primary practice location

150 Van Buren St
Newark, NY 14513-1238

Mailing address

4C Salmon Run
Hilton, NY 14468-1484
Phone (585) 392-1169

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20090814000299 NY Practitioner - Clinical Social Worker 5597819292 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
076841NYMDClinical Social Worker
064562NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Nysarc Inc. CurrentSince Jul 1, 2009 Accepting new patients
Rochester Rehabilitation Center, Inc CurrentSince Apr 11, 2022 Accepting new patients
Rochester Rehabilitation Center PastSince Apr 11, 2022 Accepting new patients

Locations

150 Van Buren St
Newark, NY 14513
Phone (315) 331-7741

1100 Elmwood Ave
Rochester, NY 14620
Phone (585) 271-0680

1000 Elmwood Ave
Ste 600
Rochester, NY 14620
Phone (585) 471-0559

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/7c4ed6b7-c140-41eb-bc5a-5ee81640f80d/

Organizations & group practices 3

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": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247788800000",
    "number": "1447371992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4C SALMON RUN",
            "city": "HILTON",
            "state": "NY",
            "postal_code": "144681484",
            "telephone_number": "585-392-1169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 VAN BUREN ST",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "145131238",
            "telephone_number": "315-331-7741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHALEN",
        "first_name": "MONICA",
        "middle_name": "KATHLEEN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2009-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "064562",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "076841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NY

Sources for this page

Verify at the official NPI Registry.