Monique Stone Allen, MSW, LCSWA

Individual provider Active NPI Clinical Social Worker · Jacksonville, NC

NPI 1750865895 · NPPES record last updated Sep 24, 2018

Key facts

NPI
1750865895
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
P011390 (NC)
Practice address
110 Branchwood Dr
Jacksonville, NC 28546-5900
Phone
(910) 938-9833
NPI assigned
Sep 24, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
P011390NCMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P011390 NC Yes

Addresses

Primary practice location

110 Branchwood Dr
Jacksonville, NC 28546-5900

Mailing address

114 Venus Rd
Jacksonville, NC 28546-9168
Phone (910) 546-6590

Other providers in Jacksonville, NC

All providers in Jacksonville, NC · Clinical Social Worker in North Carolina

Sources for this page

Verify at the official NPI Registry.