Provider Demographics
NPI:1407260482
Name:SIMANOVSKY, MONICA G (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:G
Last Name:SIMANOVSKY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:MONICA
Other - Middle Name:G
Other - Last Name:NERIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:651 N SEPULVEDA BLVD # 3000
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90049-2185
Mailing Address - Country:US
Mailing Address - Phone:424-229-2878
Mailing Address - Fax:
Practice Address - Street 1:651 N SEPULVEDA BLVD # 3000
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90049-2185
Practice Address - Country:US
Practice Address - Phone:424-229-2878
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-17
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA61613101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health