Provider Demographics
NPI:1972811222
Name:MUNROE, MECHELLE ELLEN (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:MECHELLE
Middle Name:ELLEN
Last Name:MUNROE
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1729 BUTTE AVE
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-3947
Mailing Address - Country:US
Mailing Address - Phone:978-375-3103
Mailing Address - Fax:
Practice Address - Street 1:1729 BUTTE AVE
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-3947
Practice Address - Country:US
Practice Address - Phone:978-375-3103
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-21
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW-16341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical