Individual provider Active NPI

Monique Franklin, LCSW

  • Clinical Social Worker
  • Merrillville, IN
National Provider Identifier
1699214379
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34007700A Issued in IN
Practice address
7870 Broadway
Merrillville, IN 46410-5542
Phone
(217) 418-1888
NPI assigned
Feb 15, 2017
Last updated
Jan 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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 149018118 IL
Clinical Social Worker 1041C0700X LCSW-20290 AZ
Clinical Social Worker 1041C0700X 44SC06111800 NJ
Clinical Social Worker 1041C0700X 34007700A IN Primary

Addresses

Primary practice location

7870 Broadway
Merrillville, IN 46410-5542

Mailing address

2195 Tawny St
Hobart, IN 46342-6955
Phone (217) 418-1888

Other practice location 1

5475 Broadway # 126
Merrillville, IN 46410-1647
Phone (217) 418-1888

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
I20171121003298 IN Practitioner - Clinical Social Worker 4981961208 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-20290AZMDClinical Social Worker
149018118ILMDClinical Social Worker
44SC06111800NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
More Than Thoughts Counseling Current Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Aug 8, 2022 Accepting new patients
Survive & Thrive Counseling, Inc. Past Accepting new patients

Locations

333 N Alabama St
Ste 350
Indianapolis, IN 46204
Phone (317) 983-0002

5475 Broadway
Merrillville, IN 46410
Phone (217) 418-1888

Organizations & group practices 3

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": "1487116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1699214379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2195 TAWNY ST",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463426955",
            "telephone_number": "217-418-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7870 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105542",
            "telephone_number": "217-418-1888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5475 Broadway # 126",
            "address_purpose": "LOCATION",
            "city": "Merrillville",
            "state": "IN",
            "postal_code": "464101647",
            "country_code": "US",
            "telephone_number": "217-418-1888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRANKLIN",
        "first_name": "MONIQUE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-15",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149018118",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-20290",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06111800",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34007700A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

Verify at the official NPI Registry.