Provider Demographics
NPI:1356816136
Name:MONTES DE OCA, MONIQUE TERESITA (MSW, LCSW, LICSW)
Entity Type:Individual
Prefix:
First Name:MONIQUE
Middle Name:TERESITA
Last Name:MONTES DE OCA
Suffix:
Gender:F
Credentials:MSW, LCSW, LICSW
Other - Prefix:
Other - First Name:MONIQUE
Other - Middle Name:T
Other - Last Name:ROMANS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, LCSW
Mailing Address - Street 1:1650 UNIVERSITY BLVD NE STE 3300
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87102-1726
Mailing Address - Country:US
Mailing Address - Phone:505-750-4599
Mailing Address - Fax:
Practice Address - Street 1:1650 UNIVERSITY BLVD NE STE 3300
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87102-1726
Practice Address - Country:US
Practice Address - Phone:505-750-4599
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-09
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMSWB-2022-0283104100000X
WALW608480581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical