Provider Demographics
NPI:1790460939
Name:THOMAS, MONICA SERRANO (LCSW)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:SERRANO
Last Name:THOMAS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 S LAKELINE BLVD STE 604
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-2747
Mailing Address - Country:US
Mailing Address - Phone:512-200-2871
Mailing Address - Fax:
Practice Address - Street 1:201 S LAKELINE BLVD STE 604
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-2747
Practice Address - Country:US
Practice Address - Phone:512-200-2871
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-15
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1035411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical