Individual provider Active NPI

Monica Devol, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1992816318
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
072276 Issued in NY
Practice address
231 W 96TH St
Apt 4F
New York, NY 10025-6301
Phone
(646) 245-9105
NPI assigned
Aug 31, 2006
Last updated
Oct 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 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 072276 NY Primary

Addresses

Primary practice location

231 W 96TH St
Apt 4F
New York, NY 10025-6301

Mailing address

231 W 96TH St
Apt 4F
New York, NY 10025-6301
Phone (646) 245-9105

Other identifiers 1

IdentifierTypeStateIssuer
03718898MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040527000747 NY Practitioner - Clinical Social Worker 9436130168 Practice locations: Bronx, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3640 Johnson Ave
N1
Bronx, NY 10463-1617
Phone (646) 245-9105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1992816318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 W 96TH ST",
            "address_2": "APT 4F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100256301",
            "telephone_number": "646-245-9105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 W 96TH ST",
            "address_2": "APT 4F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100256301",
            "telephone_number": "646-245-9105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVOL",
        "first_name": "MONICA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "072276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03718898",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.