Provider Demographics
NPI:1275876070
Name:MONIER, KEVYN (MSW LMSW)
Entity Type:Individual
Prefix:
First Name:KEVYN
Middle Name:
Last Name:MONIER
Suffix:
Gender:M
Credentials:MSW LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7250 NATALIE DR
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-6043
Mailing Address - Country:US
Mailing Address - Phone:612-382-1668
Mailing Address - Fax:
Practice Address - Street 1:7250 NATALIE DR
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-6043
Practice Address - Country:US
Practice Address - Phone:734-756-3548
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-29
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN198191041C0700X
MI6801103532104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical