Active NPI
Theresa Elena Monuteaux, MSW LICSW
- Clinical Social Worker
- Fall River, MA
National Provider Identifier
1487611414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1019524
- Practice address
- 101 Sullivan Dr
Fall River, MA 02721-6812 - Phone
- (508) 523-4792
- Fax
- (508) 646-9556
- NPI assigned
- Apr 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1019524 | MA | Primary |
Addresses
Primary practice location
101 Sullivan Dr
Fall River, MA 02721-6812
Mailing address
101 Sullivan Dr
Fall River, MA 02721-6812
Phone (508) 523-4792
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1035720 | Other | MA | BEACON HEALTH |
| P06134 | Other | MA | BC |
| 014756 | Other | MA | VALUE OPTIONS |
| 101954 | Other | MA | TUFTS TOTAL HEALTH |
| 408300 | Other | MA | MAGELLAN |
| 267988 | Other | RI | BCRI |
| 014756 | Other | MA | HARVARD PILGRIM |
| 1890964 | Other | MA | MA BEHAVIORA HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281916800000",
"number": "1487611414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 SULLIVAN DR",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027216812",
"telephone_number": "508-523-4792",
"fax_number": "508-646-9556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 SULLIVAN DR",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027216812",
"telephone_number": "508-523-4792",
"fax_number": "508-646-9556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONUTEAUX",
"first_name": "THERESA",
"middle_name": "ELENA",
"name_prefix": "Mrs.",
"credential": "MSW LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-26",
"last_updated": "2010-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "1019524",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEACON HEALTH",
"identifier": "1035720",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC",
"identifier": "P06134",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "014756",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS TOTAL HEALTH",
"identifier": "101954",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "408300",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCRI",
"identifier": "267988",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "014756",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MA BEHAVIORA HEALTH",
"identifier": "1890964",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fall River, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.