Provider Demographics
NPI:1609116037
Name:SCHNEIDER, MONICA R (MSW)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:R
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:MONICA
Other - Middle Name:R
Other - Last Name:WESTBY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3018 7TH AVE N
Mailing Address - Street 2:
Mailing Address - City:MOORHEAD
Mailing Address - State:MN
Mailing Address - Zip Code:56560-2583
Mailing Address - Country:US
Mailing Address - Phone:218-329-3746
Mailing Address - Fax:
Practice Address - Street 1:1104 7TH AVE S
Practice Address - Street 2:
Practice Address - City:MOORHEAD
Practice Address - State:MN
Practice Address - Zip Code:56563-0001
Practice Address - Country:US
Practice Address - Phone:218-477-2211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-21
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN211721041C0700X
ND65461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical