Healthcare Provider Details

I. General information

NPI: 1336853381
Provider Name (Legal Business Name): ELIZABETH MONROY MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/12/2023
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14600 SHERMAN WAY STE 100D
VAN NUYS CA
91405-5869
US

IV. Provider business mailing address

14600 SHERMAN WAY STE 100D
VAN NUYS CA
91405-5869
US

V. Phone/Fax

Practice location:
  • Phone: 818-901-4854
  • Fax: 818-908-4995
Mailing address:
  • Phone: 818-901-4854
  • Fax: 818-908-4995

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: