Provider Demographics
NPI:1508441775
Name:ACOFF, MONICA (LICSW)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:ACOFF
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2125 AUTUMN RIDGE WAY
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36879-4639
Mailing Address - Country:US
Mailing Address - Phone:334-329-8375
Mailing Address - Fax:
Practice Address - Street 1:2125 AUTUMN RIDGE WAY
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36879-4639
Practice Address - Country:US
Practice Address - Phone:334-329-8375
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-10
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4441C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical