Provider Demographics
NPI:1326018045
Name:MONTA, MARIA DEL PILAR (LMSW, ACSW)
Entity Type:Individual
Prefix:MS
First Name:MARIA DEL PILAR
Middle Name:
Last Name:MONTA
Suffix:
Gender:F
Credentials:LMSW, ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4129 OKEMOS RD
Mailing Address - Street 2:SUITE 6
Mailing Address - City:OKEMOS
Mailing Address - State:MI
Mailing Address - Zip Code:48864-2822
Mailing Address - Country:US
Mailing Address - Phone:517-706-0099
Mailing Address - Fax:517-706-0099
Practice Address - Street 1:4129 OKEMOS RD
Practice Address - Street 2:SUITE 6
Practice Address - City:OKEMOS
Practice Address - State:MI
Practice Address - Zip Code:48864-2822
Practice Address - Country:US
Practice Address - Phone:517-706-0099
Practice Address - Fax:517-706-0099
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-25
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010571691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI455576000OtherMAGELLAN PROVIDER
MIOCOtherBCBS PROVIDER ID NUMBER
MIOCOtherBCBS PROVIDER ID NUMBER
MIOCOtherBCBS PROVIDER ID NUMBER