Provider Demographics
NPI:1639524663
Name:PEIFFER, MONICA LYNN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:LYNN
Last Name:PEIFFER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:MONCIA
Other - Middle Name:LYNN
Other - Last Name:MEHSERLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:360 BASE AVE E APT 411
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34285-4026
Mailing Address - Country:US
Mailing Address - Phone:941-468-5166
Mailing Address - Fax:
Practice Address - Street 1:405 COMMERCIAL CT STE E
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34292-1653
Practice Address - Country:US
Practice Address - Phone:941-375-4321
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-27
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical