Provider Demographics
NPI:1790937761
Name:MONROY, VERONICA GUDINO (MSW, ACSW)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:GUDINO
Last Name:MONROY
Suffix:
Gender:F
Credentials:MSW, ACSW
Other - Prefix:
Other - First Name:VERONICA
Other - Middle Name:
Other - Last Name:GUDINO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:PO BOX 50095
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98145-5095
Mailing Address - Country:US
Mailing Address - Phone:206-520-5700
Mailing Address - Fax:
Practice Address - Street 1:23213 PACIFIC HWY S
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98032
Practice Address - Country:US
Practice Address - Phone:206-520-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-21
Last Update Date:2019-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW60807400104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA101YM0800XOtherMEDICARE ID- TYPE UNSPECIFIED
CA101YM0800XOtherMEDICARE ID- TYPE UNSPECIFIED