Individual provider Active NPI

Bianca Faith Monroe, MSW, LCAS-A, LCSW-A

  • Clinical Social Worker
  • Fayetteville, NC
National Provider Identifier
1619576352
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P015307 Issued in NC
Practice address
111 Lamon St Ste 100
Fayetteville, NC 28301-4917
Phone
(910) 483-0324
NPI assigned
Oct 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Addiction (Substance Use Disorder) Counselor 101YA0400X 26639 NC
Clinical Social Worker 1041C0700X P015307 NC Primary

Addresses

Primary practice location

111 Lamon St Ste 100
Fayetteville, NC 28301-4917

Mailing address

6319 Raeford Rd Apt 76
Fayetteville, NC 28304-2838
Phone (910) 224-1094

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20240416004262 NC Practitioner - Clinical Social Worker 1658710132 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P015307NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Meaningful Minds Counseling, PLLC Clinical CurrentSince Mar 22, 2024 Accepting new patients
Thriving Therapy and Residential Services, PLLC Clinical CurrentSince Nov 1, 2022 Accepting new patients

Locations

607 Wicker St
Sanford, NC 27330
Phone (919) 292-2614

Organizations & group practices 2

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": "1603411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1619576352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6319 RAEFORD RD APT 76",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283042838",
            "telephone_number": "910-224-1094",
            "fax_number": "910-483-2246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 LAMON ST STE 100",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283014917",
            "telephone_number": "910-483-0324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONROE",
        "first_name": "BIANCA",
        "middle_name": "FAITH",
        "name_prefix": "Miss",
        "credential": "MSW, LCAS-A, LCSW-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-23",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "26639",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P015307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.