Healthcare Provider Details

I. General information

NPI: 1649349838
Provider Name (Legal Business Name): BARBARA R MONETT M.S.W., L.C.S.W.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/06/2006
Last Update Date: 03/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

624 FREDERICK ST
SANTA CRUZ CA
95062-2203
US

IV. Provider business mailing address

1011 LAURENT ST
SANTA CRUZ CA
95060-2505
US

V. Phone/Fax

Practice location:
  • Phone: 831-252-6000
  • Fax: 831-471-9208
Mailing address:
  • Phone: 831-252-6000
  • Fax: 831-471-9208

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number17471
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: