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Individual
MONIQUE E WEST
Active
Individual
MONIQUE E WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW,BA,LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
008711
CT
1041C0700X
Clinical Social Worker
082084
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004040655
HP-MEDICAID
CT
01
—
0060808
BEACON HEALTH- VALUE OPTIONS AWAKEN THE POWER THERAPY, LLC
CT
01
—
12755484
CAQH
CT
01
—
140008711CT02
ANTHEM BCBS OF CT -AWAKEN THE POWER THERAPY, LLC
CT
01
—
472092928
THREE RIVERS AWAKEN THE POWER THERAPY, LLC
CT
01
—
4990903
CIGNA BEHAVIORAL HEALTH -AWAKEN THE POWER THERAPY
CT
01
—
PENDING
OPTUM BEHAVIORAL HEALTH- UHC AWAKEN THE POWER THERAPY, LLC
CT
Enumeration date
10/09/2007
Last updated
12/23/2019
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