Provider Demographics
NPI:1326015736
Name:MONCRIEFF, BARBARA LYNNE (LCSW)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:LYNNE
Last Name:MONCRIEFF
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 1:3633 CAMINO DEL RIO S
Mailing Address - Street 2:SUITE 204
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-4011
Mailing Address - Country:US
Mailing Address - Phone:619-280-0183
Mailing Address - Fax:619-280-3594
Practice Address - Street 1:3633 CAMINO DEL RIO S
Practice Address - Street 2:SUITE 204
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-4011
Practice Address - Country:US
Practice Address - Phone:619-280-0183
Practice Address - Fax:619-280-3594
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 222891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASW22289AMedicare ID - Type UnspecifiedL.C.S.W.