Provider Demographics
NPI:1700272861
Name:MONN, SALLY ANN (LCSW)
Entity Type:Individual
Prefix:
First Name:SALLY
Middle Name:ANN
Last Name:MONN
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 1:68 MOUNTAIN VIEW BLVD
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-0235
Mailing Address - Country:US
Mailing Address - Phone:406-697-7857
Mailing Address - Fax:
Practice Address - Street 1:68 MOUNTAIN VIEW BLVD
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-0235
Practice Address - Country:US
Practice Address - Phone:406-697-7857
Practice Address - Fax:406-547-3922
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-15
Last Update Date:2021-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT118401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical