Provider Demographics
NPI:1871243733
Name:CROSBY, MONICA ELEASE (LMSW)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:ELEASE
Last Name:CROSBY
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 E DEBBIE LN
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-2924
Mailing Address - Country:US
Mailing Address - Phone:817-366-9332
Mailing Address - Fax:575-524-4266
Practice Address - Street 1:201 E DEBBIE LN
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-2924
Practice Address - Country:US
Practice Address - Phone:817-366-9332
Practice Address - Fax:877-926-0610
Is Sole Proprietor?:No
Enumeration Date:2022-03-24
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1125111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical