Individual provider Active NPI

Michael Raymond Monticue, LCSW

  • Clinical Social Worker
  • Indiana, PA
National Provider Identifier
1972547982
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW015353 Issued in PA
Practice address
850 Hospital Rd Ste 2200
Indiana, PA 15701-3663
Phone
(724) 464-0270
Fax
(724) 464-0273
NPI assigned
Jun 16, 2006
Last updated
Apr 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 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 CW015353 PA Primary

Addresses

Primary practice location

850 Hospital Rd Ste 2200
Indiana, PA 15701-3663

Mailing address

640 Kolter Dr
Indiana, PA 15701-3570
Phone (724) 357-7196

Other practice location 1

529 Fire Academy Rd
Homer City, PA 15748-6508
Phone (724) 479-0237

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michael.monticue@irmc.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20060920000141 PA Practitioner - Clinical Social Worker 4688679988 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

850 Hospital Rd
Suite 2200
Indiana, PA 15701-3663
Phone (724) 464-0270

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana Healthcare Physician Services Inc CurrentSince Nov 10, 2013 Accepting new patients
Family Behavioral Resources, Inc. PastSince Oct 1, 2009 Accepting new patients

Locations

640 Kolter Dr
Indiana, PA 15701
Phone (724) 357-7196

850 Hospital Rd
Ste 2200
Indiana, PA 15701
Phone (724) 464-0270

879 Hospital Rd
Indiana, PA 15701
Phone (724) 349-3031

Interoperability endpoints

  • Direct secure messaging: michael.monticue@irmc.cernerdirect.com

Organizations & group practices 2

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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1972547982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 KOLTER DR",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013570",
            "telephone_number": "724-357-7196",
            "fax_number": "724-357-7279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 HOSPITAL RD STE 2200",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013663",
            "telephone_number": "724-464-0270",
            "fax_number": "724-464-0273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "529 Fire Academy Rd",
            "address_purpose": "LOCATION",
            "city": "Homer City",
            "state": "PA",
            "postal_code": "157486508",
            "country_code": "US",
            "telephone_number": "724-479-0237",
            "fax_number": "724-479-3318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTICUE",
        "first_name": "MICHAEL",
        "middle_name": "RAYMOND",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW015353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.monticue@irmc.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Cerner Millennium Direct Messaging Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Messaging",
            "address_1": "850 Hospital Rd Ste 2200",
            "city": "Indiana",
            "state": "PA",
            "country_code": "US",
            "postal_code": "157013663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indiana, PA

Sources for this page

Verify at the official NPI Registry.