Individual provider Active NPI

Moni A Carroll, LISW-S

  • Clinical Social Worker
  • Westerville, OH
National Provider Identifier
1467758284
Registry record updated Jan 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.0009111 Issued in OH
Practice address
975 S Sunbury Rd
Westerville, OH 43081-9345
Phone
(614) 865-0513
Fax
(614) 865-0513
NPI assigned
Jan 27, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2011

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 I.0009111 OH Primary

Addresses

Primary practice location

975 S Sunbury Rd
Westerville, OH 43081-9345

Mailing address

975 S Sunbury Rd
Westerville, OH 43081-9345
Phone (614) 865-0513

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20230710002339 OH Practitioner - Clinical Social Worker 7719346642 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians

Practice addresses (Care Compare)

Columbus, OH 43215
Phone (323) 205-7088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.0009111OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ridgeline Recovery LLC CurrentSince Jun 26, 2023 Accepting new patients
Mental Health Specialty Group PA CurrentSince May 1, 2025 Accepting new patients
Ridgeline Recovery LLC CurrentSince Jun 26, 2023 Accepting new patients
Central College Christian Counseling Past Accepting new patients
Ridgeline Recovery LLC PastSince Feb 23, 2023 Accepting new patients

Locations

491 Georgesville Rd
Columbus, OH 43228
Phone (614) 618-5000

800 N High St
Columbus, OH 43215
Phone (631) 540-8225

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 5

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": "1296086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296086400000",
    "number": "1467758284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 S SUNBURY RD",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430819345",
            "telephone_number": "614-865-0513",
            "fax_number": "614-865-0513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 S SUNBURY RD",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430819345",
            "telephone_number": "614-865-0513",
            "fax_number": "614-865-0513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "MONI",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-27",
        "last_updated": "2011-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0009111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.