Monique Desiree Vidal, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

818 Issued in WY

Practice address

2001 Dewar Dr Ste 270
Rock Springs, WY 82901-5785

Phone

(605) 484-5258

NPI assigned

Jan 13, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

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

Specialty

Clinical Social Worker

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

7220 Counseling Coalition LLCGroup PAC ID 0749637577, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• 7220 Counseling Coalition, LLC

  • Clinical Social Worker
  • Laramie, WY
  • NPI 1578349593
  Medicare reassignment Care Compare group NPD
• Gill Counseling Services

  • Counselor
  • Laramie, WY
  • NPI 1437801982
  Medicare reassignment NPD

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

{
    "created_epoch": "1263340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489622400000",
    "number": "1447580436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3448 DOVER AVE",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829015776",
            "telephone_number": "605-484-5258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 DEWAR DR STE 270",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829015785",
            "telephone_number": "605-484-5258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDAL",
        "first_name": "MONIQUE",
        "middle_name": "DESIREE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-13",
        "last_updated": "2017-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "PCSW-459",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Vecht
• Kayleigh Velez
• Joshua Vensor
• Rebecca D Vessels, D.C.
• Vicarious Reflections Counseling, LLC
• Grace Vigil, CSW
• Cassandra Renee Vincelette, BS
• Jeremy Vincent, LPC
• Rebekah Vondenkamp
• Rikki S Vondenkamp

• Clinical Social Worker in Rock Springs, WY
• Providers in Rock Springs, WY by specialty
• Clinical Social Worker in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.