Provider Demographics
NPI:1710860101
Name:MONACO, KERIN C (LCSW)
Entity type:Individual
Prefix:MS
First Name:KERIN
Middle Name:C
Last Name:MONACO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17167 HALLANDALE LOOP APT 415
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34638-8258
Mailing Address - Country:US
Mailing Address - Phone:214-681-9140
Mailing Address - Fax:
Practice Address - Street 1:17167 HALLANDALE LOOP APT 415
Practice Address - Street 2:
Practice Address - City:LAND O LAKES
Practice Address - State:FL
Practice Address - Zip Code:34638-8258
Practice Address - Country:US
Practice Address - Phone:214-681-9140
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-31
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW247601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical