Active NPI
Jennifer Louise Monninger, LCSW
- Clinical Social Worker
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-16510
- Practice address
- 1855 W Baseline Rd Ste 101
Mesa, AZ 85202-9098 - Phone
- (480) 204-4599
- NPI assigned
- Jun 14, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW-16510 | AZ | Primary |
Addresses
Primary practice location
1855 W Baseline Rd Ste 101
Mesa, AZ 85202-9098
Mailing address
1855 W Baseline Rd Ste 101
Mesa, AZ 85202-9098
Other practice location 1
16815 S Desert Foothills Pkwy Ste 134
Phoenix, AZ 85048-8465
Phone (480) 284-3297
Other names 1
- Jennifer Louise Oswald
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1250 W Washington St
Suite 215
Tempe, AZ 85288-1697
Phone (602) 842-7042
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW-16510 | AZ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindful Therapy Group PC | Clinical | Current | Accepting new patients |
Locations
1250 W Washington St
Ste 215
Tempe, AZ 85288
Phone (602) 842-7042
6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522713600000",
"number": "1982134763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1855 W BASELINE RD STE 101",
"city": "MESA",
"state": "AZ",
"postal_code": "852029098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1855 W BASELINE RD STE 101",
"city": "MESA",
"state": "AZ",
"postal_code": "852029098",
"telephone_number": "480-204-4599"
}
],
"practiceLocations": [
{
"address_1": "16815 S Desert Foothills Pkwy Ste 134",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850488465",
"country_code": "US",
"telephone_number": "480-284-3297",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MONNINGER",
"first_name": "JENNIFER",
"middle_name": "LOUISE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-14",
"last_updated": "2018-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "LCSW-16510",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "OSWALD",
"middle_name": "LOUISE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.