MEDICARE: MS. ENJOLI MONIQUE HARPER LCSW, CSAC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	15869-132	WI
2	1041C0700X	Clinical Social Worker	9203-123	WI

General Provider Information

NPI Number	:	1104210707
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ENJOLI MONIQUE HARPER LCSW, CSAC

Provider Business Mailing Address
First Line	:	100 WILBURN RD STE 108
Second Line	:
City	:	SUN PRAIRIE
State	:	WI
Zip	:	53590-1478
Country	:	US
Telephone Number	:	608-400-6740
Fax Number	:	608-318-0064

Provider Business Practice Location Address
First Line	:	100 WILBURN RD STE 108
Second Line	:
City	:	SUN PRAIRIE
State	:	WI
Zip	:	53590-1478
Country	:	US
Telephone Number	:	608-400-6740
Fax Number	:	608-318-0064

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2015
Last Update Date	:	04/23/2026

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