Provider Demographics
NPI:1861828139
Name:ECHEVARRIA, MONICA (MSW)
Entity Type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:
Last Name:ECHEVARRIA
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2317 SILAS DEANE HWY STE 2
Mailing Address - Street 2:
Mailing Address - City:ROCKY HILL
Mailing Address - State:CT
Mailing Address - Zip Code:06067-2341
Mailing Address - Country:US
Mailing Address - Phone:860-906-2233
Mailing Address - Fax:860-436-4792
Practice Address - Street 1:2317 SILAS DEANE HWY STE 2
Practice Address - Street 2:
Practice Address - City:ROCKY HILL
Practice Address - State:CT
Practice Address - Zip Code:06067-2341
Practice Address - Country:US
Practice Address - Phone:860-906-2233
Practice Address - Fax:860-436-4792
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-18
Last Update Date:2021-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0095101041C0700X
FLSW151471041C0700X
1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT008070835Medicaid