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MS. MONICA SUE JAY LISW-S
NPI 1235376823
Social Worker - Clinical in Fremont, OH

Active since January 19, 2009PECOS EnrolledAccepts Medicare Assignment
317 BIRCHARD AVE, FREMONT, OH 43420(419) 680-0937(567) 249-0067 Get Directions Write a Review

NPPES record last updated: April 23, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 23, 2024, Apr 17, 2024, Feb 11, 2022 (3 updates tracked since 2022).

About Ms. Monica Sue Jay Lisw-s NPPES

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

MS. MONICA SUE JAY LISW-S (NPI 1235376823) is an individual clinical provider in Fremont, Ohio, licensed in Ohio (0800149) and active in the NPI registry since January 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1235376823
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. MONICA SUE JAYCredential: LISW-S
Location Address317 BIRCHARD AVEFremont, OH 43420-3011
Mailing Address317 Birchard AveFremont, OH 43420-3011 · (419) 680-0937
Phone(419) 680-0937
Fax(567) 249-0067
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJanuary 19, 2009
Last NPPES UpdateApril 23, 20243 updates tracked since enumeration
NPPES CertifiedApril 23, 2024
✔ NPI 1235376823 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 OH · 0800149
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.
317 BIRCHARD AVE, Fremont, OH 43420
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Other Identifiers 2

Other271562089004Bc#
Medicaid0530447OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Monica Sue Jay Lisw-s 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 ID7517279565
PECOS Enrollment IDI20150702002159
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Monica Jay reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Monica Jay, Msw, Lisw-S, LLC
Same address
Clinical
317 BIRCHARD AVE
Fremont, OH 43420
  • Reassigned Medicare billing, Ohio enrollment
  • 2 clinicians in this Medicare group
NPI 1043676646 (419) 680-0937
Sondermind Provider Network LLC
1,154 mi
Clinical
1738 WYNKOOP ST STE 303
Denver, CO 80202
  • Reassigned Medicare billing, Ohio enrollment
  • 313 clinicians in this Medicare group
NPI 1760854442 (844) 843-7279

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43420 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 $54.34 – $166.65
Typical copayment $0.00 (range $13.58 – $41.66)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 2

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

MONICA JAY, MSW, LISW-S, LLC
Social Worker (Clinical)
317 BIRCHARD AVE
FREMONT, OH 43420
Sandusky County (419) 680-0937
ALYCE E SOPKOVICH LISW-S
Social Worker (Clinical)
317 BIRCHARD AVE
FREMONT, OH 43420
Sandusky County (419) 787-1959

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 Jay's NPI number?

The NPI number for Monica Jay is 1235376823. It was assigned to this individual provider in the NPPES registry on January 19, 2009.

Where is Monica Jay located?

Monica Jay practices at 317 Birchard Ave, Fremont, OH 43420. The listed phone number is (419) 680-0937.

What is Monica Jay's specialty?

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

Is Monica Jay enrolled in Medicare?

Yes. Monica Jay 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.

Which organizations bill Medicare for Monica Jay's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Monica Jay reassigns Medicare benefits to 2 organizations: Monica Jay, Msw, Lisw-S, LLC (Fremont, OH) and Sondermind Provider Network LLC (Denver, CO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Monica Jay's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Monica Jay accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 5 other insurers list Monica Jay 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 Jay was last updated on April 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.