Provider Demographics
NPI:1194866178
Name:CARR, MONICA SVEA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MONICA
Middle Name:SVEA
Last Name:CARR
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 PIPPEN PL
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-6614
Mailing Address - Country:US
Mailing Address - Phone:914-806-3520
Mailing Address - Fax:212-523-3206
Practice Address - Street 1:20 SQUADRON BLVD
Practice Address - Street 2:SUITE 680
Practice Address - City:NEW CITY
Practice Address - State:NY
Practice Address - Zip Code:10956-5200
Practice Address - Country:US
Practice Address - Phone:914-806-3520
Practice Address - Fax:212-523-3206
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-10
Last Update Date:2007-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0571461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical