Provider Demographics
NPI:1689391369
Name:OVERSTREET, MONIQUE S (ASW, MSW)
Entity Type:Individual
Prefix:MRS
First Name:MONIQUE
Middle Name:S
Last Name:OVERSTREET
Suffix:
Gender:F
Credentials:ASW, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32080 DEL CIELO OESTE
Mailing Address - Street 2:
Mailing Address - City:BONSALL
Mailing Address - State:CA
Mailing Address - Zip Code:92003-3807
Mailing Address - Country:US
Mailing Address - Phone:225-384-1483
Mailing Address - Fax:
Practice Address - Street 1:32080 DEL CIELO OESTE
Practice Address - Street 2:
Practice Address - City:BONSALL
Practice Address - State:CA
Practice Address - Zip Code:92003-3807
Practice Address - Country:US
Practice Address - Phone:225-384-1483
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-24
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1015041041C0700X
CA1176271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical