Individual provider Active NPI

Mona Greenfield, PHD

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1710024856
Registry record updated Aug 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
071528-1 Issued in NY
Practice address
24 5TH Ave
1628
New York, NY 10011-8858
Phone
(212) 674-3593
NPI assigned
Jan 30, 2007
Last updated
Aug 6, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 071528-1 NY Primary
Speech-Language Pathologist 235Z00000X 5835137 NY

Addresses

Primary practice location

24 5TH Ave
1628
New York, NY 10011-8858

Mailing address

24 5TH Ave
1628
New York, NY 10011-8858
Phone (212) 674-3593

Other identifiers 1

IdentifierTypeStateIssuer
02761246MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20051219000104 NY Practitioner - Clinical Social Worker 5597786533 Practice locations: New York, NY
I20100128000408 NY Practitioner - Qualified Speech Language Pathologist 5597786533 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

24 5TH Ave
Apt 1628
New York, NY 10011-8896
Phone (212) 674-3593

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
071528-1NYMDClinical Social Worker
5835137NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407283200000",
    "number": "1710024856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 5TH AVE",
            "address_2": "1628",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118858",
            "telephone_number": "212-674-3593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 5TH AVE",
            "address_2": "1628",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118858",
            "telephone_number": "212-674-3593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENFIELD",
        "first_name": "MONA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2014-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "071528-1",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "5835137",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02761246",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.