Provider Demographics
NPI:1679809289
Name:BYERS SCHAFFSTALL, MONIQUE (LCSW, LCDP, CADC, CC)
Entity Type:Individual
Prefix:
First Name:MONIQUE
Middle Name:
Last Name:BYERS SCHAFFSTALL
Suffix:
Gender:F
Credentials:LCSW, LCDP, CADC, CC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3661 WRANGLE HILL ROAD
Mailing Address - Street 2:
Mailing Address - City:BEAR
Mailing Address - State:DE
Mailing Address - Zip Code:19701-1906
Mailing Address - Country:US
Mailing Address - Phone:302-444-4798
Mailing Address - Fax:302-444-4727
Practice Address - Street 1:3661 WRANGLE HILL ROAD
Practice Address - Street 2:
Practice Address - City:BEAR
Practice Address - State:DE
Practice Address - Zip Code:19701-1906
Practice Address - Country:US
Practice Address - Phone:302-444-4798
Practice Address - Fax:302-444-4727
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-02
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE1081101YA0400X
DECD-0000076101YM0800X
PASW126752104100000X
DEQ1-00013611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No104100000XBehavioral Health & Social Service ProvidersSocial Worker