Individual provider Active NPI

Marian Lin Mondy, LCSW

  • Clinical Social Worker
  • Castle Rock, CO
National Provider Identifier
1952955403
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09925256 Issued in CO
Practice address
751 Maleta LN Ste 202
Castle Rock, CO 80108-7607
Phone
(719) 201-7397
NPI assigned
Aug 1, 2019
Last updated
Sep 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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 CSW.09925256 CO Primary

Addresses

Primary practice location

751 Maleta LN Ste 202
Castle Rock, CO 80108-7607

Mailing address

2371 Morningview LN
Castle Rock, CO 80109-3708
Phone (719) 201-7397

Other practice location 1

4975 Austin Bluffs Pkwy
Colorado Springs, CO 80918-5043
Phone (719) 201-7397

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20191002002275 CO Practitioner - Clinical Social Worker 5294065314 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4975 Austin Bluffs Pkwy
Colorado Springs, CO 80918-5043
Phone (719) 201-7397

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Quiet Spirit Counseling Professional LLC Clinical CurrentSince May 1, 2022 Accepting new patients
Quiet Spirit Counseling Professional LLC Clinical CurrentSince Sep 10, 2023 Accepting new patients

Locations

751 Maleta Ln
Ste 202
Castle Rock, CO 80108
Phone (303) 638-6092

4975 Austin Bluffs Pkwy
Colorado Springs, CO 80918
Phone (719) 506-2070

Organizations & group practices 3

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": "1564617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1952955403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2371 MORNINGVIEW LN",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801093708",
            "telephone_number": "719-201-7397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 MALETA LN STE 202",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801087607",
            "telephone_number": "719-201-7397"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4975 Austin Bluffs Pkwy",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809185043",
            "country_code": "US",
            "telephone_number": "719-201-7397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONDY",
        "first_name": "MARIAN",
        "middle_name": "LIN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-01",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09925256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

Verify at the official NPI Registry.