Individual provider Active NPI

Monica Wampler

  • Clinical Social Worker
  • Lafayette, IN
National Provider Identifier
1649736893
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34008375A Issued in IN
Practice address
610 Main St
Lafayette, IN 47901-1451
Phone
(765) 423-2638
NPI assigned
Feb 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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 34008375A IN Primary

Addresses

Primary practice location

610 Main St
Lafayette, IN 47901-1451

Mailing address

415 N 26TH St Ste 201
Lafayette, IN 47904-2856
Phone (765) 446-6562

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20190404002771 IN Practitioner - Clinical Social Worker 7416298278 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riggs Community Health Center IncGroup PAC ID 2365432226, 23 clinicians

Practice addresses (Care Compare)

1324 Tippecanoe St
Lafayette, IN 47904-2051
Phone (765) 742-1567

1716 Hartford St
Lafayette, IN 47904-2168

1716 Hartford St
Lafayette, IN 47904-2173
Phone 76574215673041

2316 S St
Lafayette, IN 47904-2971
Phone (765) 742-1567

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34008375AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Oaks Health Inc CurrentSince Feb 26, 2019 Accepting new patients
Riggs Community Health Center Inc CurrentSince Apr 4, 2025 Accepting new patients
Valley Oaks Health Inc CurrentSince Feb 26, 2019 Accepting new patients
Riggs Community Health Center Inc Past Accepting new patients

Locations

415 N 26th St
Lafayette, IN 47904
Phone (765) 446-6400

1716 Hartford St
Lafayette, IN 47904
Phone (765) 742-1567

2316 South St
Lafayette, IN 47904
Phone (765) 447-6969

1324 Tippecanoe St
Lafayette, IN 47904
Phone (765) 742-1567

610 Main St
Lafayette, IN 47901
Phone (765) 423-2638

415 N 26th St
Ste 201
Lafayette, IN 47904
Phone (765) 446-6535

Organizations & group practices 4

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": "1550016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1649736893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N 26TH ST STE 201",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479042856",
            "telephone_number": "765-446-6562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 MAIN ST",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479011451",
            "telephone_number": "765-423-2638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAMPLER",
        "first_name": "MONICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-13",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34008375A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

Verify at the official NPI Registry.