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MR. TODD MONROE MSW
NPI 1992073266
Social Worker - Clinical in Grandville, MI

Active since December 01, 2011PECOS Enrolled
4565 WILSON AVE SW STE 4A, GRANDVILLE, MI 49418(616) 591-9000(616) 432-3059 Get Directions Write a Review

NPPES record last updated: March 19, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Todd Monroe Msw NPPES

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

MR. TODD MONROE MSW (NPI 1992073266) is an individual clinical provider in Grandville, Michigan, licensed in Michigan (6801088123) and active in the NPI registry since December 2011. He is enrolled in Medicare PECOS and maintains a secondary practice location in Grand Rapids.

NPPES Registry Identity

NPI1992073266
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. TODD MONROECredential: MSW
Location Address4565 WILSON AVE SW STE 4AGrandville, MI 49418-2371
Mailing Address4565 Wilson Ave Sw Ste 4aGrandville, MI 49418-2371 · (616) 591-9000 · Fax (616) 432-3059
Phone(616) 591-9000
Fax(616) 432-3059
Sole ProprietorNo
Enumeration DateDecember 1, 2011
Last NPPES UpdateMarch 19, 2019
✔ NPI 1992073266 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 MI · 6801088123
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.
4565 WILSON AVE SW STE 4A, Grandville, MI 49418
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Secondary Practice Location 1

Location 11870 Leonard St NEGrand Rapids, MI 49505-5650 · Phone (616) 956-1122 · Fax (616) 956-8033

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company 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 (PECOS)

Mr. Todd Monroe Msw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Todd Monroe reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Synergy Behavioral Health
Same address
Professional
4565 WILSON AVE SW STE 1A
Grandville, MI 49418
  • Reassigned Medicare billing, Michigan enrollment
  • 10 clinicians in this Medicare group
NPI 1477439263 (616) 215-0919
Pine Rest Christian Mental Health Services
6.2 mi
Social Worker
300 68TH ST SE
Grand Rapids, MI 49548
  • Reassigned Medicare billing, Michigan enrollment
  • 261 clinicians in this Medicare group
NPI 1922019157 (616) 455-5000

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 49418 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 – $166.68
Typical copayment $0.00 (range $13.58 – $41.67)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.09 – $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 10

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

MATTHEW DEARLOVE LMSW
Social Worker
4565 WILSON AVE SW STE 4A
GRANDVILLE, MI 49418
Kent County (616) 591-9400
LISBET BRITO LPC
Counselor (Mental Health)
4565 WILSON AVE SW STE 4A
GRANDVILLE, MI 49418
Kent County (616) 591-9000
ALISSA COLLINS
Counselor (Professional)
4565 WILSON AVE SW STE 4A
GRANDVILLE, MI 49418
Kent County (616) 591-9400
LORI LEE VANHARMELEN LMSW
Social Worker (Clinical)
4565 WILSON AVE SW STE 4A
GRANDVILLE, MI 49418
Kent County (616) 780-0402
JOSEPH PAUL
Social Worker
4565 WILSON AVE SW STE 4A
GRANDVILLE, MI 49418
Kent County (517) 376-0774
MRS. RACHEL HOLLAND
Social Worker
4565 WILSON AVE SW STE 4A
GRANDVILLE, MI 49418
Kent County (616) 591-9400
BREANNA VOUAUX LLMSW
Counselor (Mental Health)
4565 WILSON AVE SW STE 4A
GRANDVILLE, MI 49418
Kent County (616) 591-9400
DR. ABRAHAM EAPEN
Psychologist
4565 WILSON AVE SW STE 4A
GRANDVILLE, MI 49418
Kent County (616) 591-9000

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 Todd Monroe's NPI number?

The NPI number for Todd Monroe is 1992073266. It was assigned to this individual provider in the NPPES registry on December 1, 2011.

Where is Todd Monroe located?

Todd Monroe practices at 4565 Wilson Ave SW Ste 4A, Grandville, MI 49418. The listed phone number is (616) 591-9000.

What is Todd Monroe's specialty?

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

Is Todd Monroe enrolled in Medicare?

Yes. Todd Monroe is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Todd Monroe's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Todd Monroe reassigns Medicare benefits to 2 organizations: Synergy Behavioral Health (Grandville, MI) and Pine Rest Christian Mental Health Services (Grand Rapids, MI). 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 Todd Monroe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Todd Monroe accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and UnitedHealthcare list Todd Monroe 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 Todd Monroe was last updated on March 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.