Provider Demographics
NPI:1821383910
Name:BARTHELUS, MONIQUE J (MSW)
Entity Type:Individual
Prefix:MISS
First Name:MONIQUE
Middle Name:J
Last Name:BARTHELUS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MISS
Other - First Name:MONIQUE
Other - Middle Name:
Other - Last Name:JEAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:2112 S CONGRESS AVE STE 104
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33406-7670
Mailing Address - Country:US
Mailing Address - Phone:561-653-6292
Mailing Address - Fax:
Practice Address - Street 1:2112 S CONGRESS AVE STE 104
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33406-7670
Practice Address - Country:US
Practice Address - Phone:561-653-6292
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-16
Last Update Date:2014-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker