Provider Demographics
NPI:1083845085
Name:SAUCEDA, MONICA (LMSW)
Entity Type:Individual
Prefix:MS
First Name:MONICA
Middle Name:
Last Name:SAUCEDA
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 TAOS VLY
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78245-2872
Mailing Address - Country:US
Mailing Address - Phone:210-381-0723
Mailing Address - Fax:
Practice Address - Street 1:111 TAOS VLY
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78245-2872
Practice Address - Country:US
Practice Address - Phone:210-381-0723
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-07
Last Update Date:2012-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX52846171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator