Jessica Moncrief, LISW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.0009510 Issued in OH

Practice address

303 E Bagley Rd
Berea, OH 44017-2040

Phone

(440) 260-8372

NPI assigned

Mar 15, 2007

Last updated

Oct 29, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Figure and Ground Counseling

  • Clinical Social Worker
  • Westlake, OH
  • NPI 1831795707
  NPD Authorized official

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351468800000",
    "number": "1528192077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1649 ONONDAGA AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441074310",
            "telephone_number": "216-221-4697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E BAGLEY RD",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440172040",
            "telephone_number": "440-260-8372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONCRIEF",
        "first_name": "JESSICA",
        "name_prefix": "Ms.",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2012-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0009510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trina Elizabeth Minor
• Monica M Mlinac, PCC-S
• Rachel Moe, QMHS,CMS
• Charles Thomas Molina
• Brady Mollner
• Brittany Moore
• Patrick Dean Moran
• Georgia Jean Moser, COTA-L
• Stefanie Dawn Moss
• Nicolette Mullinax

• Clinical Social Worker in Berea, OH
• Providers in Berea, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.