Provider Demographics
NPI:1841887569
Name:CWYNAR, MONICA ROXANNE (CW023641)
Entity type:Individual
Prefix:MS
First Name:MONICA
Middle Name:ROXANNE
Last Name:CWYNAR
Suffix:
Gender:F
Credentials:CW023641
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:342 HAZELWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15207-1528
Mailing Address - Country:US
Mailing Address - Phone:412-680-8463
Mailing Address - Fax:
Practice Address - Street 1:5830 ELLSWORTH AVE STE 301
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15232-1778
Practice Address - Country:US
Practice Address - Phone:412-208-6279
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-29
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA451520251S00000X
PACW0236411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No251S00000XAgenciesCommunity/Behavioral Health