Active NPI
Monreal Family Services, LLC
- Clinical Social Worker
- Dewey, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- MONREAL FAMILY SERVICES, LLC
- Practice address
- 1101 N Old Chisholm TRL Ste a
Dewey, AZ 86327-5833 - Phone
- (928) 235-6097
- NPI assigned
- Mar 29, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Toni Lynn Monreal, LCSW
- Title
- Clinical Social Worker
- Phone
- (928) 235-6097
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
1101 N Old Chisholm TRL Ste a
Dewey, AZ 86327-5833
Mailing address
PO Box 25757
Prescott Valley, AZ 86312-5757
Phone (928) 713-1879
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 410033 | Medicaid | AZ |
National Provider Directory
National Provider Directory- Tax ID family
- Monreal Family Services LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Social Worker
- Dewey, AZ
- NPI 1740988476
Locations
1101 N Old Chisholm Trl
Ste H
Dewey, AZ 86327
Phone (928) 713-1879
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616976000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1676592000000",
"number": "1992383400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25757",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863125757",
"telephone_number": "928-713-1879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 N OLD CHISHOLM TRL STE A",
"city": "DEWEY",
"state": "AZ",
"postal_code": "863275833",
"telephone_number": "928-235-6097"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONREAL FAMILY SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-29",
"last_updated": "2023-02-17",
"certification_date": "2023-02-17",
"status": "A",
"authorized_official_last_name": "MONREAL",
"authorized_official_first_name": "TONI",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
"authorized_official_telephone_number": "928-235-6097",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "410033",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dewey, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.