Provider Demographics
NPI:1114582665
Name:MONICA L. NORDEEN, LMSW
Entity Type:Organization
Organization Name:MONICA L. NORDEEN, LMSW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:L
Authorized Official - Last Name:NORDEEN
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:906-250-0933
Mailing Address - Street 1:112 W WASHINGTON ST STE G
Mailing Address - Street 2:
Mailing Address - City:MARQUETTE
Mailing Address - State:MI
Mailing Address - Zip Code:49855-4367
Mailing Address - Country:US
Mailing Address - Phone:906-250-0933
Mailing Address - Fax:
Practice Address - Street 1:112 W WASHINGTON ST STE G
Practice Address - Street 2:
Practice Address - City:MARQUETTE
Practice Address - State:MI
Practice Address - Zip Code:49855-4367
Practice Address - Country:US
Practice Address - Phone:906-250-0933
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-09
Last Update Date:2019-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty