Provider Demographics
NPI:1851044549
Name:MONICA SIMANOVSKY LICENSED CLINICAL SOCIAL WORKER INCORPORATED
Entity Type:Organization
Organization Name:MONICA SIMANOVSKY LICENSED CLINICAL SOCIAL WORKER INCORPORATED
Other - Org Name:SUNSET THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO AND PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:G
Authorized Official - Last Name:SIMANOVSKY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:424-229-2878
Mailing Address - Street 1:651 N SEPULVEDA BLVD UNIT 3000
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90049-2185
Mailing Address - Country:US
Mailing Address - Phone:424-229-2878
Mailing Address - Fax:
Practice Address - Street 1:651 N SEPULVEDA BLVD UNIT 3000
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90049-2185
Practice Address - Country:US
Practice Address - Phone:424-229-2878
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-02
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty