Provider Demographics
NPI:1518943570
Name:MONTE, LONA (MSW)
Entity Type:Individual
Prefix:MS
First Name:LONA
Middle Name:
Last Name:MONTE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 WEST 97
Mailing Address - Street 2:SUITE 12G
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025
Mailing Address - Country:US
Mailing Address - Phone:212-864-5214
Mailing Address - Fax:212-663-6922
Practice Address - Street 1:120 WEST 97
Practice Address - Street 2:SUITE 12G
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025
Practice Address - Country:US
Practice Address - Phone:212-864-5214
Practice Address - Fax:212-663-6922
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0213711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN08821Medicare ID - Type Unspecified