Provider Demographics
NPI:1659449056
Name:MONHEIT, JOAN ARLINE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JOAN
Middle Name:ARLINE
Last Name:MONHEIT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2820 ADELINE ST
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94703-2264
Mailing Address - Country:US
Mailing Address - Phone:510-845-1557
Mailing Address - Fax:
Practice Address - Street 1:2820 ADELINE ST
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94703-2264
Practice Address - Country:US
Practice Address - Phone:510-845-1557
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 108321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ22601ZMedicare ID - Type UnspecifiedMEDICARE NUMBER