Active NPI
Monique Edwards
- Social Worker
- Bloomfield, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 119893101
- Practice address
- 705 New Briatin Ave
CHD
Bloomfield, CT 06002 - Phone
- (860) 508-9311
- NPI assigned
- Nov 27, 2017
- Last updated
- Nov 27, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 119893101 | CT | Primary |
Addresses
Primary practice location
705 New Briatin Ave
CHD
Bloomfield, CT 06002
Mailing address
50 Jackson Rd
Bloomfield, CT 06002-3927
Phone (860) 977-7549
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
360 Bloomfield Ave
Suite 328
Windsor, CT 06095-2700
Phone (860) 281-1128
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 119893101 | CT | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobenn Counseling | Current | Accepting new patients | |
| Mobenn LLC | Current | Accepting new patients |
Locations
682 Prospect Ave
Unit 300
Hartford, CT 06105
Phone (860) 281-1128
360 Bloomfield Ave
Ste 328
Windsor, CT 06095
325 N Saint Paul St
Ste 3100
Dallas, TX 75201
Phone (203) 747-8696
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Virginia Beach, VA
- NPI 1871334128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511740800000",
"number": "1760996946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 JACKSON RD",
"city": "BLOOMFIELD",
"state": "CT",
"postal_code": "060023927",
"telephone_number": "860-977-7549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 NEW BRIATIN AVE",
"address_2": "CHD",
"city": "BLOOMFIELD",
"state": "CT",
"postal_code": "06002",
"telephone_number": "860-508-9311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "MONIQUE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-27",
"last_updated": "2017-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CT",
"license": "119893101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.