Provider Demographics
NPI:1679258305
Name:MONICA NUNEZ LICENSED CLINICAL SOCIAL WORKER, PC
Entity type:Organization
Organization Name:MONICA NUNEZ LICENSED CLINICAL SOCIAL WORKER, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW
Authorized Official - Prefix:
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:NUNEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:951-373-9797
Mailing Address - Street 1:PO BOX 93
Mailing Address - Street 2:
Mailing Address - City:MIRA LOMA
Mailing Address - State:CA
Mailing Address - Zip Code:91752-0093
Mailing Address - Country:US
Mailing Address - Phone:951-373-9797
Mailing Address - Fax:
Practice Address - Street 1:10941 50TH ST
Practice Address - Street 2:
Practice Address - City:JURUPA VALLEY
Practice Address - State:CA
Practice Address - Zip Code:91752-1816
Practice Address - Country:US
Practice Address - Phone:951-373-9797
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-20
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health