Provider Demographics
NPI:1770140808
Name:OLMOS, MONICA (LCSW)
Entity type:Individual
Prefix:MS
First Name:MONICA
Middle Name:
Last Name:OLMOS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:MONICA
Other - Middle Name:
Other - Last Name:OLMOS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PPSC
Mailing Address - Street 1:P.O. BOX 11685
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93389
Mailing Address - Country:US
Mailing Address - Phone:661-741-9455
Mailing Address - Fax:
Practice Address - Street 1:3535 UNION AVE
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93305-2937
Practice Address - Country:US
Practice Address - Phone:616-741-9455
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-23
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW1182751041C0700X
CA1041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool