Diana Monroe, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW5566 Issued in FL

Practice address

390 Pondella Rd Ste 9
North Fort Myers, FL 33903-4340

Phone

(239) 652-0260

Fax

(239) 652-0146

NPI assigned

Jul 20, 2009

Last updated

Sep 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ultima Rehab-FL LLC

  • Geriatric Physical Therapist
  • North Fort Myers, FL
  • NPI 1053970194
  NPD

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1639309024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16100 S POST RD APT 202",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313542",
            "telephone_number": "754-281-2911",
            "fax_number": "239-332-4977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 PONDELLA RD STE 9",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339034340",
            "telephone_number": "239-652-0260",
            "fax_number": "239-652-0146"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16100 S Post Rd Apt 202",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "FL",
            "postal_code": "333313542",
            "country_code": "US",
            "telephone_number": "754-281-2911",
            "fax_number": "239-332-4977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONROE",
        "first_name": "DIANA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-20",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW5566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE",
            "identifier": "SW5566",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "WWW.therapynotes.com",
            "affiliation": "N",
            "address_1": "390 Pondella Rd Ste 9",
            "city": "North Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339034340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Milestone Therapy & Wellness Center
• Mind2Mind Remediation, LLC. (Mind2Mind)
• Mindful & Caring Occupational Therapy LLC
• Thomas William Minor, PT
• Molina Home Care LLC
• Laura Monteagudo Hernandez
• Austin Montgomery, RPH
• Tarnesha Moore
• Olivia Mora
• Svoboda Maria Morris

• Clinical Social Worker in North Fort Myers, FL
• Providers in North Fort Myers, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.

Verify at the official NPI Registry.