Basic Information
Provider Information
NPI: 1861160053
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SAVOREY-CARO
FirstName: MONIQUE
MiddleName: S.
NamePrefix:  
NameSuffix:  
Credential: MSW, LBS
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 107 HOUNDSTOOTH WAY
Address2:  
City: HOLLIDAYSBURG
State: PA
PostalCode: 166483245
CountryCode: US
TelephoneNumber: 8143292277
FaxNumber:  
Practice Location
Address1: 1405 N CEDAR CREST BLVD STE 109
Address2:  
City: ALLENTOWN
State: PA
PostalCode: 181042308
CountryCode: US
TelephoneNumber: 8563460005
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/01/2021
LastUpdateDate: 09/01/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/01/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1041C0700XBH001310PAY Behavioral Health & Social Service ProvidersSocial WorkerClinical

No ID Information.


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