MEDICARE: MRS. SONIA F. MONTERROSO LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker
2	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1205091550
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SONIA F. MONTERROSO LCSW

Provider Business Mailing Address
First Line	:	6926 MELROSE AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90038-3306
Country	:	US
Telephone Number	:	323-934-7979
Fax Number	:	323-934-0514

Provider Business Practice Location Address
First Line	:	6926 MELROSE AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90038-3306
Country	:	US
Telephone Number	:	323-934-7979
Fax Number	:	323-934-0514

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2008
Last Update Date	:	03/01/2022

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