Provider Demographics
NPI:1649349838
Name:MONETT, BARBARA R (MSW, LCSW)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:R
Last Name:MONETT
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 1:1011 LAURENT ST
Mailing Address - Street 2:
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95060-2505
Mailing Address - Country:US
Mailing Address - Phone:831-252-6000
Mailing Address - Fax:831-471-9208
Practice Address - Street 1:624 FREDERICK ST
Practice Address - Street 2:
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95062-2203
Practice Address - Country:US
Practice Address - Phone:831-252-6000
Practice Address - Fax:831-471-9208
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2008-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA174711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical