MARK ALLEN JR. MONROE – Clinical Social Worker, NPI 1457808354

MARK ALLEN JR. MONROE is a healthcare provider. based in Hopkinsville, Kentucky. specializing in CLINICAL SOCIAL WORKER. They hold a License No. 252195 (). The NPI Number for MARK ALLEN JR. MONROE is 1457808354

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
MARK ALLEN JR. MONROE
NPI
1457808354
Phone
(270) 886-2205
Address
3999 Fort Campbell Blvd
Enumeration Date
8 September 2016
Last Update Date
24 August 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2702655600
Graduation Year
2016 (10 years ago)
PAC ID
4688914823
Group Practice PAC ID
4082855069
Professional Enrollment ID
I20190325002882
Address ID
KY422208812EL810XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:9State licenses:2Digital endpointsOther names

1,195 CLINICAL SOCIAL WORKER in KY

Provider Addresses for MARK ALLEN JR. MONROE

  • 3999 Fort Campbell Blvd

    Hopkinsville, KY 422404929

    Phone: (270) 886-2205

    Fax: (270) 886-0392

    Type: Location

  • PO BOX 614

    HOPKINSVILLE, KY 422410614

    Phone: (270) 886-2205

    Fax: (270) 886-0392

    Type: Mailing

  • 506, Hopkinsville Street, Greenville, Muhlenberg County, Kentucky, 42345, United States

    GREENVILLE, KY 423451104

    Phone: (270) 338-5211

    Fax: (270) 338-1624

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-03-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190325002882IClinical Social WorkerKYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 42240)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4082855069View full group profile
NameSpecialtyState
Family PracticeKY
Nurse PractitionerKY
-KY
Family PracticeTN
Nurse PractitionerKY
Nurse PractitionerKY

Reviews

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Frequently asked questions

What is the standard ID for MARK ALLEN JR. MONROE in the U.S.?
In the U.S., MARK ALLEN JR. MONROE is identified by NPI 1457808354.
Does the public listing show MARK ALLEN JR. MONROE as active?
MARK ALLEN JR. MONROE's NPI record reflects an active status in NPPES.
What services align with MARK ALLEN JR. MONROE's listing?
MARK ALLEN JR. MONROE's public classification highlights Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Can patients visit MARK ALLEN JR. MONROE in Hopkinsville, Kentucky?
For routing, start with Hopkinsville, Kentucky for MARK ALLEN JR. MONROE, then verify phone and hours locally.
Who maintains MARK ALLEN JR. MONROE's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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