Active NPI
Monique Marie Colleen Prince, MSW, LICSW
- Clinical Social Worker
- Manchester, NH
National Provider Identifier
1801176938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1931
- Practice address
- 32 Webster St
Manchester, NH 03104-2544 - Phone
- (603) 370-7692
- NPI assigned
- Aug 21, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LCSW 217325 | MA | |
| Social Worker | 104100000X | MC14416 | ME | |
| Clinical Social Worker | 1041C0700X | 1931 | NH | Primary |
Addresses
Primary practice location
32 Webster St
Manchester, NH 03104-2544
Mailing address
PO Box 5
Chester, NH 03036-0005
Phone (603) 370-7692
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E400228686 | Other | NH | MEDICARE |
| 435407000 | Medicaid | NH |
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 |
|---|---|---|---|
| LCSW 217325 | MA | MD | Social Worker |
| MC14416 | ME | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hickman Chiropractic PA | 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.
-
- Chiropractor
- Manchester, NH
- NPI 1518176593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461542400000",
"number": "1801176938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5",
"city": "CHESTER",
"state": "NH",
"postal_code": "030360005",
"telephone_number": "603-370-7692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 WEBSTER ST",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031042544",
"telephone_number": "603-370-7692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRINCE",
"first_name": "MONIQUE",
"middle_name": "MARIE COLLEEN",
"name_prefix": "Miss",
"credential": "MSW, LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-21",
"last_updated": "2016-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "LCSW 217325",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ME",
"license": "MC14416",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NH",
"license": "1931",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "E400228686",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "435407000",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Manchester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.