Individual provider Active NPI

Adrienne Lynette Monroe, MSW, LCSW

  • Clinical Social Worker
  • Fayetteville, NC
National Provider Identifier
1619003852
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C005569 Issued in NC
Practice address
1631 Kara CT
Fayetteville, NC 28304-2052
Phone
(910) 717-0504
Fax
(910) 717-0536
NPI assigned
Feb 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 C005569 NC Primary

Addresses

Primary practice location

1631 Kara CT
Fayetteville, NC 28304-2052

Mailing address

1631 Kara CT
Fayetteville, NC 28304-2052
Phone (910) 717-0504

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

LicenseStateTypeSpecialty
C005569NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Peace of Mind, Body, and Spirit PA CurrentSince Sep 5, 2021 Accepting new patients
Trinity Innovative Programming Services, Inc. Clinical CurrentSince Oct 1, 2009 Accepting new patients
Trinity Innovative Programming Services, Inc. Past Accepting new patients

Locations

100 Hay St
Ste 1000
Fayetteville, NC 28301
Phone (910) 433-4477

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619003852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 KARA CT",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283042052",
            "telephone_number": "910-717-0504",
            "fax_number": "910-717-0536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 KARA CT",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283042052",
            "telephone_number": "910-717-0504",
            "fax_number": "910-717-0536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONROE",
        "first_name": "ADRIENNE",
        "middle_name": "LYNETTE",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.