Organization Active NPI

Monica Jay, MSW, Lisws, LLC

  • Clinical Social Worker
  • Fremont, OH
National Provider Identifier
1609529288
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MONICA JAY, MSW, LISWS, LLC
Practice address
409 S Front St
Fremont, OH 43420-3072
Phone
(419) 680-0937
Fax
(567) 249-0067
NPI assigned
Feb 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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

Authorized official

Name
Monica Sue Jay, LISW-SNPI 1235376823
Title
Clinical Therapist
Phone
(419) 680-0937

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

409 S Front St
Fremont, OH 43420-3072

Mailing address

112 S Collinwood Blvd
Fremont, OH 43420-4528
Phone (419) 680-0937

Other names 1

  • Monica Jay, MSW, LISWS, LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643932800000",
    "number": "1609529288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 S COLLINWOOD BLVD",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434204528",
            "telephone_number": "419-680-0937",
            "fax_number": "567-249-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 S FRONT ST",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434203072",
            "telephone_number": "419-680-0937",
            "fax_number": "567-249-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONICA JAY, MSW, LISWS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A",
        "authorized_official_last_name": "JAY",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "CLINICAL THERAPIST",
        "authorized_official_telephone_number": "419-680-0937",
        "authorized_official_credential": "LISW-S"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monica Jay, MSW, LISWS, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Monica Jay, MSW, LISWS, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fremont, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.