Individual provider Active NPI

Monay Wadsworth, LICSW

  • Clinical Social Worker
  • Fort Belvoir, VI
National Provider Identifier
1912589441
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC50082749 Issued in DC
Practice address
Fort Belvoir Community Hospital
9300 Dewitt Loop
Fort Belvoir, VI 22060
Phone
(571) 231-1174
NPI assigned
Apr 23, 2021
Last updated
Mar 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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 LC50082749 DC Primary

Addresses

Primary practice location

Fort Belvoir Community Hospital
9300 Dewitt Loop
Fort Belvoir, VI 22060

Mailing address

9300 Dewitt Loop
Fort Belvoir Community Hospital, VA 22020
Phone (510) 213-3738

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, DC2 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
I20230414001618 TX Practitioner - Clinical Social Worker 1153796636 Reassigns benefits to 4 organizations
I20240106000361 DC Practitioner - Clinical Social Worker 1153796636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.38 of 100Reported as group
Quality
80.82
Promoting interoperability
91
Improvement activities
40
Cost
84.44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Ridge Indian Health Service Hospital Current Accepting new patients
Rosebud Indian Health Service CurrentSince Feb 19, 2024 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Dec 6, 2023 Accepting new patients
Wagner Indian Health Service Health Center CurrentSince Jan 21, 2024 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince May 6, 2024 Accepting new patients
Rosebud Indian Health Service CurrentSince Feb 19, 2024 Accepting new patients
Quentin N Burdick Comprehensive Health Care Facility CurrentSince Jan 3, 2023 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince May 6, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1300 Hospital Loop
Belcourt, ND 58316

4100 W 150th St
#3
Cleveland, OH 44135

111 Washington Ave NW
Wagner, SD 57380
Phone (605) 384-3621

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Organizations & group practices 8

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": "1619136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1912589441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 DEWITT LOOP",
            "city": "FORT BELVOIR COMMUNITY HOSPITAL",
            "state": "VA",
            "postal_code": "22020",
            "telephone_number": "510-213-3738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FORT BELVOIR COMMUNITY HOSPITAL",
            "address_2": "9300 DEWITT LOOP",
            "city": "FORT BELVOIR",
            "state": "VI",
            "postal_code": "22060",
            "telephone_number": "571-231-1174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADSWORTH",
        "first_name": "MONAY",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-23",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50082749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.