Individual provider Active NPI

Vonzolla Monique Elliott

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1659737740
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
107200 Issued in TX
Practice address
429 E Vermont St
Indianapolis, IN 46202-3690
Phone
(317) 723-3181
Fax
(317) 723-3632
NPI assigned
Jan 6, 2016
Last updated
Sep 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801092790 MI
Clinical Social Worker 1041C0700X 34007952A IN
Clinical Social Worker 1041C0700X LW60750646 WA
Clinical Social Worker 1041C0700X 107200 TX Primary

Addresses

Primary practice location

429 E Vermont St
Indianapolis, IN 46202-3690

Mailing address

8515 Boulevard 26 Apt 209
North Richland Hills, TX 76180-5632
Phone (504) 289-1067

Other practice location 1

2021 44th St SE Ste C
Grand Rapids, MI 49508-5349
Phone (616) 889-7128

Other practice location 2

5012 S Fletcher St
Seattle, WA 98118-5320
Phone (504) 289-1067

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IN, AZ, TX, IL, WA6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20160203001137 MI Practitioner - Clinical Social Worker 2668776147 Reassigns benefits to 2 organizations
I20190107001865 IN Practitioner - Clinical Social Worker 2668776147 Reassigns benefits to 1 organization
I20240522002642 AZ Practitioner - Clinical Social Worker 2668776147 Reassigns benefits to 3 organizations
I20240523001816 TX Practitioner - Clinical Social Worker 2668776147 Reassigns benefits to 2 organizations
I20240528001589 IL Practitioner - Clinical Social Worker 2668776147 Reassigns benefits to 1 organization
I20240529002589 WA Practitioner - Clinical Social Worker 2668776147 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801092790MIMDClinical Social Worker
107200TXMDClinical Social Worker
LW60750646WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Apr 17, 2024 Accepting new patients
Savvy Wellness Center Clinical CurrentSince Apr 2, 2025 Accepting new patients
S.a.V.Y.,L.L.C. (Success Achieved When Visioned by You) Clinical Current Accepting new patients

Locations

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

8700 E Vista Bonita Dr
Scottsdale, AZ 85255
Phone (480) 502-4324

8700 E Vista Bonita Dr
Ste 140
Scottsdale, AZ 85255
Phone (480) 695-9951

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338

9465 Counselors Row
Ste 200
Indianapolis, IN 46240
Phone (463) 220-4646

250 Monroe Ave NW
Ste 400
Grand Rapids, MI 49503
Phone (616) 441-4616

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1659737740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8515 BOULEVARD 26 APT 209",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761805632",
            "telephone_number": "504-289-1067",
            "fax_number": "317-723-3632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 E VERMONT ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462023690",
            "telephone_number": "317-723-3181",
            "fax_number": "317-723-3632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2021 44th St SE Ste C",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495085349",
            "country_code": "US",
            "telephone_number": "616-889-7128",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5012 S Fletcher St",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981185320",
            "country_code": "US",
            "telephone_number": "504-289-1067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "VONZOLLA",
        "middle_name": "MONIQUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-06",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801092790",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34007952A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60750646",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "107200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.