Individual provider Active NPI

Monika M Wysong, MSS, LCSW

  • Clinical Social Worker
  • Wyndmoor, PA
National Provider Identifier
1760532154
Registry record updated Dec 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW015939 Issued in PA
Practice address
8200 Flourtown Ave
Suite 8
Wyndmoor, PA 19038-7976
Phone
(215) 233-3994
Fax
(215) 233-3997
NPI assigned
Jan 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2010

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 CW015939 PA Primary

Addresses

Primary practice location

8200 Flourtown Ave
Suite 8
Wyndmoor, PA 19038-7976

Mailing address

8200 Flourtown Ave
Suite 8
Wyndmoor, PA 19038-7976
Phone (215) 233-3994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20080918000477 PA Practitioner - Clinical Social Worker 1052488970 Reassigns benefits to 2 organizations
Practice locations: Wyndmoor, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
GKSW Crystal Group AssociatesGroup PAC ID 7810898152, 14 clinicians

Practice addresses (Care Compare)

8200 Flourtown Ave
Wyndmoor, PA 19038-7969
Phone (215) 233-3994

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Intercommunity Action, Inc CurrentSince Sep 9, 2013 Accepting new patients
GKSW Crystal Group Associates Clinical CurrentSince Oct 1, 2014 Accepting new patients
Philmont Guidance Center, P.C. PastSince Jan 8, 1998 Accepting new patients
HR Physician Services PastSince Aug 8, 2021 Accepting new patients

Locations

403 Rector St
Philadelphia, PA 19128
Phone (215) 487-1750

6122 Ridge Ave
Philadelphia, PA 19128
Phone (215) 508-6700

8200 Flourtown Ave
Ste 8
Wyndmoor, PA 19038
Phone (215) 233-3994

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.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291766400000",
    "number": "1760532154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 FLOURTOWN AVE",
            "address_2": "SUITE 8",
            "city": "WYNDMOOR",
            "state": "PA",
            "postal_code": "190387976",
            "telephone_number": "215-233-3994",
            "fax_number": "215-233-3997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 FLOURTOWN AVE",
            "address_2": "SUITE 8",
            "city": "WYNDMOOR",
            "state": "PA",
            "postal_code": "190387976",
            "telephone_number": "215-233-3994",
            "fax_number": "215-233-3997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYSONG",
        "first_name": "MONIKA",
        "middle_name": "M",
        "credential": "MSS, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2010-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW015939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyndmoor, PA

Sources for this page

Verify at the official NPI Registry.