Doctor Name: | MR. PHILLIP CLYDE MONACO |
NPI Number: | 1053548453 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | 0904000900 |
Business Practice Address: | 1241 N Main St Harrisonburg, VA - 228024632 |
Business Phone Number: | 5404341941 |
Business Fax Number: | |
Mailing Address: | 1013 Greenville Ave, STAUNTON |
State: | VA |
Postal Code: | 244015018 |
Phone Number: | 2073412304 |
Fax Number: | |
NPI Enumeration Date: | 06/12/2009 |
NPI Last Update Date: | 06/12/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 0904000900 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |