Individual provider Active NPI

Monira Louise Hallaway, LMSW

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1881711307
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801085321 Issued in MI
Practice address
2035 Hogback Rd Ste 101
Ann Arbor, MI 48105-9487
Phone
(734) 776-7205
NPI assigned
Mar 22, 2007
Last updated
Jan 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

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 6801085321 MI Primary

Addresses

Primary practice location

2035 Hogback Rd Ste 101
Ann Arbor, MI 48105-9487

Mailing address

10957 Wynns Rd
Pinckney, MI 48169-8110
Phone (734) 776-7205

Other practice location 1

2006 Hogback Rd
Ste 1
Ann Arbor, MI 48105-9750
Phone (734) 786-4924

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

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1881711307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10957 WYNNS RD",
            "city": "PINCKNEY",
            "state": "MI",
            "postal_code": "481698110",
            "telephone_number": "734-776-7205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 HOGBACK RD STE 101",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059487",
            "telephone_number": "734-776-7205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2006 Hogback Rd",
            "address_2": "STE 1",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481059750",
            "country_code": "US",
            "telephone_number": "734-786-4924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALLAWAY",
        "first_name": "MONIRA",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801085321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.