MEDICARE: MONICA E. FREIRE L.C.S.W.

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	1041C0700X	Clinical Social Worker	LCS 22057	CA

General Provider Information

NPI Number	:	1477649572
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONICA E. FREIRE L.C.S.W.

Provider Business Mailing Address
First Line	:	PO BOX 2672
Second Line	:
City	:	DOWNEY
State	:	CA
Zip	:	90242-1672
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	680 E COLORADO BLVD STE 180&2ND
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91101-6143
Country	:	US
Telephone Number	:	213-308-5101
Fax Number	:

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

Provider Enumeration Date	:	10/05/2006
Last Update Date	:	11/27/2023

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