Individual provider Active NPI

David O Wade-Monarco, LSCSW

  • Clinical Social Worker
  • Dodge City, KS
National Provider Identifier
1821040445
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LSCSW 3915 Issued in KS
Practice address
2006 1St Ave
Dodge City, KS 67801-2623
Phone
(620) 371-6548
Fax
(620) 371-7119
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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 LSCSW 3915 KS Primary

Addresses

Primary practice location

2006 1St Ave
Dodge City, KS 67801-2623

Mailing address

2006 1St Ave
Dodge City, KS 67801-2623
Phone (620) 371-6548

Other identifiers 1

IdentifierTypeStateIssuer
200460320CMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20091202000032 KS Practitioner - Clinical Social Worker 4688713811 Reassigns benefits to 1 organization
I20180117000554 CO Practitioner - Clinical Social Worker 4688713811 Reassigns benefits to 1 organization

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

Practice addresses (Care Compare)

134 W Main St
Suite 12
Trinidad, CO 81082-2600
Phone (719) 846-2691

614 N 2ND Ave
Dodge City, KS 67801-4440
Phone (316) 680-0520

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LSCSW 3915KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Monade Counseling, LLC CurrentSince Apr 1, 2015 Accepting new patients
Compass Behavioral Health PastSince Dec 22, 2019 Accepting new patients
Counseling and Mediation Center, Inc. Past Accepting new patients

Locations

134 W Main St
Ste 12
Trinidad, CO 81082
Phone (719) 846-2691

2006 1st Ave
Dodge City, KS 67801
Phone (620) 371-6548

614 N 2nd Ave
Dodge City, KS 67801
Phone (316) 680-0520

Organizations & group practices 3

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1821040445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 1ST AVE",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678012623",
            "telephone_number": "620-371-6548",
            "fax_number": "620-371-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 1ST AVE",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678012623",
            "telephone_number": "620-371-6548",
            "fax_number": "620-371-7119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE-MONARCO",
        "first_name": "DAVID",
        "middle_name": "O",
        "credential": "LSCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "LSCSW 3915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200460320C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dodge City, KS

Sources for this page

Verify at the official NPI Registry.