Individual provider Active NPI

Monique Anderson, CSW

  • Clinical Social Worker
  • Philadelphia, PA
National Provider Identifier
1558823187
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW023329 Issued in PA
Practice address
30 S 15TH St Ste 1550
#140838
Philadelphia, PA 19102-4806
Phone
(445) 207-3784
NPI assigned
Apr 2, 2019
Last updated
Oct 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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 CW023329 PA Primary

Addresses

Primary practice location

30 S 15TH St Ste 1550
#140838
Philadelphia, PA 19102-4806

Mailing address

30 S 15TH St Ste 1550
PMB#140838
Philadelphia, PA 19102-4806
Phone (445) 207-3784

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240816000988 PA Practitioner - Clinical Social Worker 4880132281 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW023329PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Philadelphia Health Action Inc. Current Accepting new patients
Greater Philadelphia Health Action, Inc. CurrentSince Aug 1, 2024 Accepting new patients
Absolutecare of Philadelphia, LLC CurrentSince Jul 15, 2024 Accepting new patients
Absolutecare of Philadelphia, LLC CurrentSince Jul 15, 2024 Accepting new patients
Greater Philadelphia Health Action Inc. CurrentSince Aug 1, 2024 Accepting new patients

Locations

10175 Little Patuxent Pkwy
Ste 800
Columbia, MD 21044

1080 N Delaware Ave
Philadelphia, PA 19125
Phone (215) 287-2114

1080 N Delaware Ave
Ste 800
Philadelphia, PA 19125
Phone (267) 463-5800

432 N 6th St
Philadelphia, PA 19123
Phone (215) 627-8000

5501 Woodland Ave
Philadelphia, PA 19143
Phone (215) 724-4700

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1558823187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 S 15TH ST STE 1550",
            "address_2": "PMB#140838",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191024806",
            "telephone_number": "445-207-3784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 S 15TH ST STE 1550",
            "address_2": "#140838",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191024806",
            "telephone_number": "445-207-3784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MONIQUE",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-02",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW023329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.