Active NPI
Jennifer Monnich-Smith, LCSW
- Clinical Social Worker
- Modesto, CA
National Provider Identifier
1548304751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS21357
- Practice address
- 1114 6TH St
Modesto, CA 95354-2203 - Phone
- (209) 576-2845
- Fax
- (209) 576-8842
- NPI assigned
- Feb 19, 2007
- Sex
- Female
- Sole proprietor
- No
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 | LCS21357 | CA | Primary |
Addresses
Primary practice location
1114 6TH St
Modesto, CA 95354-2203
Mailing address
1005 Ashford CT
Modesto, CA 95350-3001
Phone (209) 985-6844
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180123002867 | CA | Practitioner - Clinical Social Worker | 8729347547 | Practice locations: Modesto, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21357 | CA | MD | Professional Counselor |
| LCS21357 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459468800000",
"number": "1548304751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 ASHFORD CT",
"city": "MODESTO",
"state": "CA",
"postal_code": "953503001",
"telephone_number": "209-985-6844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1114 6TH ST",
"city": "MODESTO",
"state": "CA",
"postal_code": "953542203",
"telephone_number": "209-576-2845",
"fax_number": "209-576-8842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONNICH-SMITH",
"first_name": "JENNIFER",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-19",
"last_updated": "2016-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS21357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; 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.