Provider Demographics
NPI:1619003852
Name:MONROE, ADRIENNE LYNETTE (MSW, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ADRIENNE
Middle Name:LYNETTE
Last Name:MONROE
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1631 KARA CT
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28304-2052
Mailing Address - Country:US
Mailing Address - Phone:910-717-0504
Mailing Address - Fax:910-717-0536
Practice Address - Street 1:1631 KARA CT
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28304-2052
Practice Address - Country:US
Practice Address - Phone:910-717-0504
Practice Address - Fax:910-717-0536
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0055691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical