Provider Demographics
NPI:1255463543
Name:MONCADA, HOPE MARIE (LCSW)
Entity type:Individual
Prefix:
First Name:HOPE
Middle Name:MARIE
Last Name:MONCADA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19634 VENTURA BLVD
Mailing Address - Street 2:SUITE 325
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-2966
Mailing Address - Country:US
Mailing Address - Phone:818-888-4975
Mailing Address - Fax:818-888-4975
Practice Address - Street 1:19634 VENTURA BLVD
Practice Address - Street 2:SUITE 325
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-2966
Practice Address - Country:US
Practice Address - Phone:818-888-4975
Practice Address - Fax:818-888-4975
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-12
Last Update Date:2009-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS206431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical