Provider Demographics
NPI:1780024448
Name:STEADMAN, MONICA MARIE (MSW, LICSW)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:MARIE
Last Name:STEADMAN
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 UNION AVE
Mailing Address - Street 2:
Mailing Address - City:SNOHOMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98290-2828
Mailing Address - Country:US
Mailing Address - Phone:425-870-5163
Mailing Address - Fax:
Practice Address - Street 1:602 2ND ST STE 207
Practice Address - Street 2:
Practice Address - City:SNOHOMISH
Practice Address - State:WA
Practice Address - Zip Code:98290-2984
Practice Address - Country:US
Practice Address - Phone:425-870-5163
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-26
Last Update Date:2013-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW 601511701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical