Provider Demographics
NPI:1053828491
Name:MONAGHAN, CHRISTY LYNN (MSW)
Entity type:Individual
Prefix:
First Name:CHRISTY
Middle Name:LYNN
Last Name:MONAGHAN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:CHRISTY
Other - Middle Name:L
Other - Last Name:GIRVAN-BIERL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:23560 REPUBLIC AVE
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48237-2378
Mailing Address - Country:US
Mailing Address - Phone:248-398-4660
Mailing Address - Fax:
Practice Address - Street 1:23560 REPUBLIC AVE
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:MI
Practice Address - Zip Code:48237-2378
Practice Address - Country:US
Practice Address - Phone:248-398-4660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-08
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68011039201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical