MONICA M GILSON LCSW
NPI 1053611673
Social Worker - Clinical in Woodbury, CT

Active since October 29, 2010PECOS EnrolledAccepts Medicare Assignment
86.41/100
CMS Quality Rating
1 SHERMAN HILL RD STE 2W, WOODBURY, CT 06798(203) 305-0299 Get Directions Write a Review

NPPES record last updated: February 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 11, 2025, Apr 1, 2023, Jun 15, 2018 (3 updates tracked since 2018).

About Monica M Gilson Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MONICA M GILSON LCSW (NPI 1053611673) is an individual clinical provider in Woodbury, Connecticut, licensed in Connecticut (007173) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1053611673
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMONICA M GILSONCredential: LCSW
Location Address1 SHERMAN HILL RD STE 2WWoodbury, CT 06798-3699
Mailing Address38 Osborne Hill RdSandy Hook, CT 06482-1500 · (203) 305-0299
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateOctober 29, 2010
Last NPPES UpdateFebruary 11, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2025
NPI 1053611673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in CT · 007173
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

1 SHERMAN HILL RD STE 2W, Woodbury, CT 06798

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Monica M Gilson Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436331154
PECOS Enrollment IDI20110316000558
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06798 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $60.82 – $183.10
Typical copayment $0.00 (range $15.20 – $45.77)
Most-billed visit code NA
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.99
Promoting Interoperability100
Improvement Activities40
Cost43.03

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
1 SHERMAN HILL RD STE 2W
WOODBURY, CT 06798
Social Worker (Clinical)
1 SHERMAN HILL RD STE 2W
WOODBURY, CT 06798
Social Worker (Clinical)
1 SHERMAN HILL RD STE 2W
WOODBURY, CT 06798

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Monica Gilson's NPI number?

The NPI number for Monica Gilson is 1053611673. It was assigned to this individual provider in the NPPES registry on October 29, 2010.

Where is Monica Gilson located?

Monica Gilson practices at 1 Sherman Hill Rd Ste 2W, Woodbury, CT 06798. The listed phone number is (203) 305-0299.

What is Monica Gilson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Monica Gilson enrolled in Medicare?

Yes. Monica Gilson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Monica Gilson accept?

Health plans from Providence Health Plan list Monica Gilson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Monica Gilson was last updated on February 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.