Active NPI
Vonzolla Monique Elliott
- Clinical Social Worker
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 107200
- 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, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801092790 | MI | MD | Clinical Social Worker |
| 107200 | TX | MD | Clinical Social Worker |
| LW60750646 | WA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
| Savvy Wellness Center | Clinical | Current | 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.
-
- Clinical Social Worker
- Scottsdale, AZ
- NPI 1265313373
-
- Mental Health Counselor
- Miami, FL
- NPI 1245845932
AZ, Clinical, IL, IN, MI, TX, WA
-
- Clinical Social Worker
- Indianapolis, IN
- NPI 1790151231
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.