Individual provider Active NPI

Marla Monk, LCSW

  • Mental Health Counselor
  • Summerville, SC
National Provider Identifier
1508320417
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
89 Old Trolley Rd Ste 102Ab
Summerville, SC 29485-4951
Phone
(854) 206-5513
NPI assigned
Jan 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

89 Old Trolley Rd Ste 102Ab
Summerville, SC 29485-4951

Mailing address

89 Old Trolley Rd Ste 102Ab
Summerville, SC 29485-4951
Phone (854) 206-5513

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20240711003347 SC Practitioner - Clinical Social Worker 5799220976 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Grace CounselingGroup PAC ID 1052788890, 3 clinicians
MCCD FL Psychiatry Services PAGroup PAC ID 4880064070, 751 clinicians

Practice addresses (Care Compare)

89 Old Trolley Rd
Suite 202
Summerville, SC 29485-4951
Phone (854) 206-5513

900 Trail Ridge Rd
FL 1
Aiken, SC 29803-7765
Phone (833) 351-8255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Grace Counseling CurrentSince Jun 1, 2024 Accepting new patients
Vietnam Veterans of San Diego Past Accepting new patients

Locations

89 Old Trolley Rd
Ste 202
Summerville, SC 29485
Phone (854) 206-5513

89 Old Trolley Rd
Ste 202
Summerville, SC 29485
Phone (419) 699-2337

89 Old Trolley Rd
Ste 102
Summerville, SC 29485
Phone (843) 900-3590

89 Old Trolley Rd
Ste 102AB103
Summerville, SC 29485

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1508320417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 OLD TROLLEY RD STE 102AB",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294854951",
            "telephone_number": "854-206-5513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 OLD TROLLEY RD STE 102AB",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294854951",
            "telephone_number": "854-206-5513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONK",
        "first_name": "MARLA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-24",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

Verify at the official NPI Registry.