Provider Demographics
NPI:1760672539
Name:ONCALE, MONICA L (LCSW-BACS)
Entity Type:Individual
Prefix:MISS
First Name:MONICA
Middle Name:L
Last Name:ONCALE
Suffix:
Gender:F
Credentials:LCSW-BACS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 E 5TH ST
Mailing Address - Street 2:
Mailing Address - City:THIBODAUX
Mailing Address - State:LA
Mailing Address - Zip Code:70301-3406
Mailing Address - Country:US
Mailing Address - Phone:985-688-5957
Mailing Address - Fax:985-449-7073
Practice Address - Street 1:310 E 5TH ST
Practice Address - Street 2:
Practice Address - City:THIBODAUX
Practice Address - State:LA
Practice Address - Zip Code:70301-3406
Practice Address - Country:US
Practice Address - Phone:985-688-5957
Practice Address - Fax:985-449-7073
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-27
Last Update Date:2007-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA38961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical