Provider Demographics
NPI:1396376562
Name:GOCIAL, MONICA SPOKANY (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:SPOKANY
Last Name:GOCIAL
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 1:417 N STERLING RD
Mailing Address - Street 2:
Mailing Address - City:ELKINS PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19027-2013
Mailing Address - Country:US
Mailing Address - Phone:215-872-9804
Mailing Address - Fax:
Practice Address - Street 1:417 N STERLING RD
Practice Address - Street 2:
Practice Address - City:ELKINS PARK
Practice Address - State:PA
Practice Address - Zip Code:19027-2013
Practice Address - Country:US
Practice Address - Phone:215-872-9804
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-28
Last Update Date:2020-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0160221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical