Lisa Monaco-Russ, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

21304 Beach Blvd # U105
Huntington Beach, CA 92648-5496

Phone

(716) 341-5151

NPI assigned

Mar 5, 2007

Last updated

May 20, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Advanced Psychiatric Nurse Practitioner Practice, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Williamsville, NY
  • NPI 1831120245
  NPD (past)

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1730218819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21304 BEACH BLVD # U105",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926485496",
            "telephone_number": "716-341-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21304 BEACH BLVD # U105",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926485496",
            "telephone_number": "716-341-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONACO-RUSS",
        "first_name": "LISA",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "R035963-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Momentum Detox LLC
• Momentum Detox LLC
• Momentum Detox, LLC
• Momentum Detox, LLC
• Momentum Detox, LLC
• Nancy Jean Monahan, PNYSICAL THERAPIST
• Monarch Diagnostic Services, Inc.
• Jennifer Moncrief
• Monika Summerfield (Child Guidance Center)
• Natalie Monroy

• Clinical Social Worker in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; 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.