Individual provider Active NPI

Monika Rae Shontz, LCSWA

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1689273120
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P014831 Issued in NC
Practice address
3019 Falstaff Rd
Raleigh, NC 27610-1812
Phone
(919) 250-7017
NPI assigned
Oct 24, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 P014831 NC Primary

Addresses

Primary practice location

3019 Falstaff Rd
Raleigh, NC 27610-1812

Mailing address

6423 The Lakes Dr Apt C
Raleigh, NC 27609-3466
Phone (941) 525-3025

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL monikashontz@hushmail.com Direct
CONNECT URL Athomecounseling@nc.rr.com Health Information Exchange (HIE) At-Home Counseling Services, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P014831NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Liminal Space Therapy P.L.L.C Clinical Current Accepting new patients

Organizations & group practices 1

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": "1603497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1689273120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6423 THE LAKES DR APT C",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276093466",
            "telephone_number": "941-525-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3019 FALSTAFF RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101812",
            "telephone_number": "919-250-7017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHONTZ",
        "first_name": "MONIKA",
        "middle_name": "RAE",
        "credential": "LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-24",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P014831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "monikashontz@hushmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6423 The Lakes Dr Apt C",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276093466",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Athomecounseling@nc.rr.com",
            "affiliation": "Y",
            "affiliationName": "At-Home Counseling Services, Inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "athomecounseling@nc.rr.com",
            "address_1": "6423 The Lakes Dr Apt C",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276093466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.