Active NPI
Moniko L Lawson, LICSW
- Clinical Social Worker
- Birmingham, AL
National Provider Identifier
1598359119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4662C
- Practice address
- 129 E Park Cir
Birmingham, AL 35235-3000 - Phone
- (205) 836-7283
- Fax
- (205) 836-7824
- NPI assigned
- Feb 24, 2021
- 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 | 4662C | AL | Primary |
Addresses
Primary practice location
129 E Park Cir
Birmingham, AL 35235-3000
Mailing address
129 E Park Cir
Birmingham, AL 35235-3000
Phone (205) 836-7283
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770637910 | Medicaid | AL | |
| 051008150 | Other | AL | BLUE CROSS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Eastside | Direct | Eastside Mental Health Center Inc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4662C | AL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastside Mental Health Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Counselor
- Birmingham, AL
- NPI 1023283421
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614124800000",
"number": "1598359119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 E PARK CIR",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352353000",
"telephone_number": "205-836-7283",
"fax_number": "205-836-9594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 E PARK CIR",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352353000",
"telephone_number": "205-836-7283",
"fax_number": "205-836-7824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWSON",
"first_name": "MONIKO",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-24",
"last_updated": "2021-02-24",
"certification_date": "2021-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AL",
"license": "4662C",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1770637910",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "051008150",
"state": "AL"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Eastside",
"affiliation": "Y",
"endpointDescription": "129 E Park Cir, Birmingham, AL 35235-3000",
"affiliationName": "Eastside Mental Health Center Inc",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Birmingham",
"address_1": "129 E Park Cir",
"city": "Birmingham",
"state": "AL",
"country_code": "US",
"postal_code": "352353000",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.