Jacque Monaghan Barberie, LCSW
Individual provider Active NPI Clinical Social Worker · Malibu, CA
NPI 1831786474 · NPPES record last updated Jan 13, 2021
Key facts
- NPI
- 1831786474
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LCSW19027 (CA)
- Practice address
- 31727 Mulholland Hwy
Malibu, CA 90265-2704 - Phone
- (818) 631-5236
- NPI assigned
- Dec 29, 2020
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW19027 | CA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW19027 | CA | Yes |
Addresses
Primary practice location
31727 Mulholland Hwy
Malibu, CA 90265-2704
Mailing address
3765 Horizon Ridge CT
Simi Valley, CA 93063-0210
Phone (818) 631-5236
Other practice location 1
3765 Horizon Ridge Ct
Simi Valley, CA 93063-0210
Phone (818) 631-5236
Other providers in Malibu, CA
- Atamian Chiropractic
- Avalon by the Sea, Inc
- B12 Solutions, LLC
- Bailard House, LLC
- Joshua Ballenger
- David Bret Baron
- Corinne Jill Barthell
- Alisa Ruby Bash
- Ashley R Bateman
- Scott French Bateman
All providers in Malibu, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.