Individual provider Active NPI

Mary Clare Monahan, LCSW

  • Clinical Social Worker
  • Saint Louis, MO
National Provider Identifier
1558992826
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2018032478 Issued in MO
Practice address
3800 Park Ave
Saint Louis, MO 63110-2514
Phone
(314) 268-2700
Fax
(314) 268-2748
NPI assigned
Jan 27, 2020
Last updated
Nov 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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 2018032478 MO Primary

Addresses

Primary practice location

3800 Park Ave
Saint Louis, MO 63110-2514

Mailing address

3800 Park Ave
Saint Louis, MO 63110-2514
Phone (314) 268-2700

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mmonahan329875@direct-ehr-ssmhc.com Direct

Medicare participation

Medicare enrollment files
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2018032478MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Cardinal Glennon Childrens Hospital CurrentSince Mar 1, 2020 Accepting new patients
SSM Cardinal Glennon Childrens Hospital Current Accepting new patients
SSM Cardinal Glennon Children's Hospital CurrentSince Mar 1, 2020 Accepting new patients

Locations

7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189

1145 Corporate Lake Dr
Saint Louis, MO 63132
Phone (314) 989-6189

13000 Butler Crest Dr
Saint Louis, MO 63128
Phone (314) 842-3535

1465 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 268-4070

3800 Park Ave
Saint Louis, MO 63110
Phone (314) 577-5600

Interoperability endpoints

  • Direct secure messaging: mmonahan329875@direct-ehr-ssmhc.com

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, 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": "1580083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1558992826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 PARK AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631102514",
            "telephone_number": "314-268-2700",
            "fax_number": "314-268-2748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 PARK AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631102514",
            "telephone_number": "314-268-2700",
            "fax_number": "314-268-2748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONAHAN",
        "first_name": "MARY CLARE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-27",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2018032478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmonahan329875@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "mmonahan329875@direct-ehr-ssmhc.com",
            "address_1": "3800 Park Ave",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631102514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.