Provider Demographics
NPI:1982110326
Name:FLOYD, MONIQUE ROCHELLE (LCSW)
Entity Type:Individual
Prefix:
First Name:MONIQUE
Middle Name:ROCHELLE
Last Name:FLOYD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:MONIQUE
Other - Middle Name:ROCHELLE
Other - Last Name:SIMPSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:138 TOWNSHIP BLVD
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23231-5175
Mailing Address - Country:US
Mailing Address - Phone:757-706-1783
Mailing Address - Fax:
Practice Address - Street 1:138 TOWNSHIP BLVD
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23231-5175
Practice Address - Country:US
Practice Address - Phone:757-706-1783
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-21
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040101811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical