Provider Demographics
NPI:1740713932
Name:TRGOVICH, MONIKA (LICDC-CS, LISW)
Entity type:Individual
Prefix:
First Name:MONIKA
Middle Name:
Last Name:TRGOVICH
Suffix:
Gender:F
Credentials:LICDC-CS, LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26600 RENAISSANCE PKWY
Mailing Address - Street 2:
Mailing Address - City:WARRENSVILLE HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44128-5795
Mailing Address - Country:US
Mailing Address - Phone:216-329-8990
Mailing Address - Fax:
Practice Address - Street 1:26600 RENAISSANCE PKWY
Practice Address - Street 2:
Practice Address - City:WARRENSVILLE HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44128-5795
Practice Address - Country:US
Practice Address - Phone:216-329-8990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-05
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.24060241041C0700X
OH101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)