Individual provider Active NPI

Martha Monagan-Hart

  • Clinical Social Worker
  • St Petersburg, FL
National Provider Identifier
1912309022
Registry record updated Sep 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW3927 Issued in FL
Practice address
4750 Dolphin Cay LN S
508
St Petersburg, FL 33711-4679
Phone
(727) 631-5251
NPI assigned
Sep 19, 2014
Last updated
Sep 30, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2014

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 SW3927 FL Primary

Addresses

Primary practice location

4750 Dolphin Cay LN S
508
St Petersburg, FL 33711-4679

Mailing address

4750 Dophin Cay LN S
St Petersburg, FL 33711
Phone (727) 631-5251

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412035200000",
    "number": "1912309022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 DOPHIN CAY LN S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "33711",
            "telephone_number": "727-631-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 DOLPHIN CAY LN S",
            "address_2": "508",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337114679",
            "telephone_number": "727-631-5251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONAGAN-HART",
        "first_name": "MARTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-19",
        "last_updated": "2014-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW3927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; 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.