Provider Demographics
NPI:1417534256
Name:SAGEN, MONICA FELICIA (MSW, LSWAIC)
Entity Type:Individual
Prefix:MS
First Name:MONICA
Middle Name:FELICIA
Last Name:SAGEN
Suffix:
Gender:F
Credentials:MSW, LSWAIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 140TH ST S
Mailing Address - Street 2:
Mailing Address - City:PARKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98444-4526
Mailing Address - Country:US
Mailing Address - Phone:253-536-5961
Mailing Address - Fax:253-536-5967
Practice Address - Street 1:1835 MILLER DR
Practice Address - Street 2:
Practice Address - City:DUPONT
Practice Address - State:WA
Practice Address - Zip Code:98327-9038
Practice Address - Country:US
Practice Address - Phone:235-324-0955
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-26
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASC608237561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical