Provider Demographics
NPI:1497356349
Name:BARTLEY, MONICA (SWT)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:BARTLEY
Suffix:
Gender:F
Credentials:SWT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7059 WEST BLVD APT 232
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-4333
Mailing Address - Country:US
Mailing Address - Phone:234-600-8200
Mailing Address - Fax:
Practice Address - Street 1:243 E MARSHALL RD # B
Practice Address - Street 2:
Practice Address - City:MC DONALD
Practice Address - State:OH
Practice Address - Zip Code:44437-1760
Practice Address - Country:US
Practice Address - Phone:234-600-8200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-06
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.2202661-TRNE1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical