Provider Demographics
NPI:1790142982
Name:MONDA, DIANA KAY (LCSW)
Entity Type:Individual
Prefix:MS
First Name:DIANA
Middle Name:KAY
Last Name:MONDA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:DIANA
Other - Middle Name:KAY
Other - Last Name:SCHILLINGS (MAIDEN NAME: HOOVER)
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10621 SHOALHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89134-7106
Mailing Address - Country:US
Mailing Address - Phone:702-233-3029
Mailing Address - Fax:702-233-3029
Practice Address - Street 1:10621 SHOALHAVEN DR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89134-7106
Practice Address - Country:US
Practice Address - Phone:702-233-3029
Practice Address - Fax:702-233-3029
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-20
Last Update Date:2016-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVLCSW#5962C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical