Provider Demographics
NPI:1497949390
Name:MONROE, CASEY JOHN (MSSW)
Entity Type:Individual
Prefix:MR
First Name:CASEY
Middle Name:JOHN
Last Name:MONROE
Suffix:
Gender:M
Credentials:MSSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2414 E PRICE RD
Mailing Address - Street 2:BLDG. B, STE 103
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78521-3195
Mailing Address - Country:US
Mailing Address - Phone:956-371-2240
Mailing Address - Fax:956-548-1999
Practice Address - Street 1:2414 E PRICE RD
Practice Address - Street 2:BLDG. B, STE 103
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-3195
Practice Address - Country:US
Practice Address - Phone:956-371-2240
Practice Address - Fax:956-548-1999
Is Sole Proprietor?:No
Enumeration Date:2007-09-04
Last Update Date:2007-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX359131041C0700X
WI6779-1231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical