Doctor Name: | MONIQUE SIMONE |
NPI Number: | 1326151879 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | ME522216 |
Business Practice Address: | 469 Main St Ste 203 Springvale, ME - 040831870 |
Business Phone Number: | 2074904520 |
Business Fax Number: | 2074904521 |
Mailing Address: | 469 Main St Ste 203, SPRINGVALE |
State: | ME |
Postal Code: | 040831870 |
Phone Number: | 2074904520 |
Fax Number: | 2074904521 |
NPI Enumeration Date: | 08/17/2006 |
NPI Last Update Date: | 05/12/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | ME522216 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |