Healthcare Provider Details

I. General information

NPI: 1649712993
Provider Name (Legal Business Name): MONICA MOROVICH MSW, PPSC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/16/2016
Last Update Date: 05/09/2022
Certification Date: 05/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2025 WESTWIND DR UNIT A
BAKERSFIELD CA
93301-3036
US

IV. Provider business mailing address

10017 SANTA ANITA LN
BAKERSFIELD CA
93312-6131
US

V. Phone/Fax

Practice location:
  • Phone: 661-496-7815
  • Fax:
Mailing address:
  • Phone: 661-496-7815
  • Fax: 661-397-8286

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberASW72611
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number87231
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: