Provider Demographics
NPI:1285230300
Name:MONKS, STEVEN M JR (LICSW)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:M
Last Name:MONKS
Suffix:JR
Gender:M
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6604 WILDAIRE RD SW
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98499-1333
Mailing Address - Country:US
Mailing Address - Phone:509-899-0925
Mailing Address - Fax:
Practice Address - Street 1:6604 WILDAIRE RD SW
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98499-1333
Practice Address - Country:US
Practice Address - Phone:509-899-0925
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-05
Last Update Date:2020-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW603377371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical