Healthcare Provider Details

I. General information

NPI: 1205141660
Provider Name (Legal Business Name): ELENA MONTI LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2010
Last Update Date: 06/16/2025
Certification Date: 06/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14499 N DALE MABRY HWY STE 130S
TAMPA FL
33618-2071
US

IV. Provider business mailing address

7051 HEATHCOTE VILLAGE WAY STE 115
GAINESVILLE VA
20155-3197
US

V. Phone/Fax

Practice location:
  • Phone: 833-769-3524
  • Fax:
Mailing address:
  • Phone: 804-207-6737
  • Fax: 703-655-7686

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904006242
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW24650
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: