Healthcare Provider Details

I. General information

NPI: 1265362594
Provider Name (Legal Business Name): BRENDA KAY MONROY LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3115 WOLF CT
DEKALB IL
60115-8257
US

IV. Provider business mailing address

PO BOX 1046
DEKALB IL
60115-7046
US

V. Phone/Fax

Practice location:
  • Phone: 815-501-5217
  • Fax: 877-539-2369
Mailing address:
  • Phone: 815-766-0856
  • Fax: 877-539-2369

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number2723148
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: