Provider Demographics
NPI:1598925059
Name:MONROE, MARIE MARANNE (MSW)
Entity Type:Individual
Prefix:MRS
First Name:MARIE
Middle Name:MARANNE
Last Name:MONROE
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 1:1601 NE 25TH AVE
Mailing Address - Street 2:SUITE 306
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34470-8800
Mailing Address - Country:US
Mailing Address - Phone:352-671-7884
Mailing Address - Fax:352-671-7379
Practice Address - Street 1:1601 NE 25TH AVE
Practice Address - Street 2:SUITE 306
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34470-8800
Practice Address - Country:US
Practice Address - Phone:352-671-7884
Practice Address - Fax:352-671-7379
Is Sole Proprietor?:No
Enumeration Date:2008-06-09
Last Update Date:2008-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL767966100Medicaid