Individual provider Active NPI

Monda Sue Prior, MSW

  • Clinical Social Worker
  • Brewster, MA
National Provider Identifier
1841369782
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
103514 Issued in MA
Practice address
8 Granite State CT
Brewster, MA 02631-2127
Phone
(508) 240-2921
Fax
(508) 240-6521
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 103514 MA Primary

Addresses

Primary practice location

8 Granite State CT
Brewster, MA 02631-2127

Mailing address

8 Granite State CT
Brewster, MA 02631-2127
Phone (508) 240-2921

Other identifiers 3

IdentifierTypeStateIssuer
013514OtherMATUFT'S HEALTH
1894919MedicaidMA
0000P1720OtherMABLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20050913001045 MA Practitioner - Clinical Social Worker 0840223608 Practice locations: Brewster, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1975
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8 Granite State CT
Brewster, MA 02631-2127

8 Granite State CT 2ND FL
Brewster, MA 02631-2127
Phone (508) 385-6470

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1841369782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 GRANITE STATE CT",
            "city": "BREWSTER",
            "state": "MA",
            "postal_code": "026312127",
            "telephone_number": "508-240-2921",
            "fax_number": "508-240-6521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 GRANITE STATE CT",
            "city": "BREWSTER",
            "state": "MA",
            "postal_code": "026312127",
            "telephone_number": "508-240-2921",
            "fax_number": "508-240-6521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIOR",
        "first_name": "MONDA",
        "middle_name": "SUE",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "103514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFT'S HEALTH",
            "identifier": "013514",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1894919",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0000P1720",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brewster, MA

Sources for this page

Verify at the official NPI Registry.