Active NPI
Monda Sue Prior, MSW
- Clinical Social Worker
- Brewster, MA
National Provider Identifier
1841369782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 103514
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 013514 | Other | MA | TUFT'S HEALTH |
| 1894919 | Medicaid | MA | |
| 0000P1720 | Other | MA | BLUE 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Pleasant Bay Health and Living Centers, LLC
- Pleasant Bay Health and Wellness Center LLC
- Pleasant Bay of Brewster Assisted Living LLC
- Pleasant Bay of Brewster Rehab Center LLC
- Polished,LLC
- Melissa Quast, R.N.
- Raymond G. Magauran, M.D., P.C.
- Amanda Jane Reilly, APRN
- Katherine Romagnoli
- Nancy B. Samotis, L.C.S.W.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.