Healthcare Provider Details

I. General information

NPI: 1700704186
Provider Name (Legal Business Name): MONICA QUIOCO LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2480 ALHAMBRA CT
CLEARWATER FL
33761-2601
US

IV. Provider business mailing address

2480 ALHAMBRA CT
CLEARWATER FL
33761-2601
US

V. Phone/Fax

Practice location:
  • Phone: 813-388-8560
  • Fax:
Mailing address:
  • Phone: 813-388-8560
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW11028
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: