Active NPI
Carol M Murray, LCSW
- Clinical Social Worker
- Monona, WI
National Provider Identifier
1780628230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 6320 Monona Dr
Suite 314 Monona Mediation & Counseling
Monona, WI 53716-3952 - Phone
- (608) 442-3420
- Fax
- (608) 442-3421
- NPI assigned
- Jun 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 913-123 | WI | |
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
6320 Monona Dr
Suite 314 Monona Mediation & Counseling
Monona, WI 53716-3952
Mailing address
6320 Monona Dr
Suite 314 Monona Mediation & Counseling
Monona, WI 53716-3952
Phone (608) 442-3420
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39651900 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 913-123 | WI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monona Mediation and Counseling LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262131200000",
"number": "1780628230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6320 MONONA DR",
"address_2": "SUITE 314 MONONA MEDIATION & COUNSELING",
"city": "MONONA",
"state": "WI",
"postal_code": "537163952",
"telephone_number": "608-442-3420",
"fax_number": "608-442-3421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6320 MONONA DR",
"address_2": "SUITE 314 MONONA MEDIATION & COUNSELING",
"city": "MONONA",
"state": "WI",
"postal_code": "537163952",
"telephone_number": "608-442-3420",
"fax_number": "608-442-3421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURRAY",
"first_name": "CAROL",
"middle_name": "M",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-15",
"last_updated": "2009-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "913-123",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39651900",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Monona, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.