Provider Demographics
NPI:1114146305
Name:STAYNER, MONICA M (MSW, LISW)
Entity Type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:M
Last Name:STAYNER
Suffix:
Gender:F
Credentials:MSW, LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:964 TEN MILE RD
Mailing Address - Street 2:
Mailing Address - City:NEW RICHMOND
Mailing Address - State:OH
Mailing Address - Zip Code:45157-9758
Mailing Address - Country:US
Mailing Address - Phone:513-553-3113
Mailing Address - Fax:513-553-0819
Practice Address - Street 1:510 S STATE ST
Practice Address - Street 2:SUITE F
Practice Address - City:HARRISON
Practice Address - State:OH
Practice Address - Zip Code:45030-2105
Practice Address - Country:US
Practice Address - Phone:513-367-5020
Practice Address - Fax:513-553-0819
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI-00046071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical