MONIQUE L GORE LCSW
NPI 1568452803
Social Worker - Clinical in Green Bay, WI

Active since October 27, 2005PECOS EnrolledAccepts Medicare Assignment
3158 EATON RD, GREEN BAY, WI 54311(920) 770-3319(920) 600-0271 Get Directions Write a Review

NPPES record last updated: October 26, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 11, 2023, Oct 26, 2023 (2 updates tracked since 2023).

About Monique L Gore Lcsw NPPES

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

MONIQUE L GORE LCSW (NPI 1568452803) is an individual clinical provider in Green Bay, Wisconsin, licensed in Wisconsin (7158-123) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1568452803
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMONIQUE L GORECredential: LCSW
Location Address3158 EATON RDGreen Bay, WI 54311-6827
Mailing Address3158 Eaton RdGreen Bay, WI 54311-6827 · (920) 819-3970 · Fax (920) 600-0271
Fax(920) 600-0271
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateOctober 27, 2005
Last NPPES UpdateOctober 26, 20232 updates tracked since enumeration
NPPES CertifiedOctober 26, 2023
NPI 1568452803 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 WI · 7158-123
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.

3158 EATON RD, Green Bay, WI 54311

Other Identifiers 1

Medicaid43562500WI

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

Monique L Gore 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 ID1355353301
PECOS Enrollment IDI20060613000059
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54311 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 $53.90 – $163.24
Typical copayment $0.00 (range $13.47 – $40.81)
Most-billed visit code NA
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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

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

Social Worker (Clinical)
3158 EATON RD
GREEN BAY, WI 54311

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568452803, enumerated as an "individual" on October 27, 2005.

The provider is located at 3158 EATON RD GREEN BAY, WI 54311 and the phone number is (920) 770-3319.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, HealthPartners,. Please consult your insurance carrier or call the provider to verify.