Provider Demographics
NPI:1104174036
Name:PHELPS CHUKWUNYERE, MONICA ALISE (LCSW-A)
Entity type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:ALISE
Last Name:PHELPS CHUKWUNYERE
Suffix:
Gender:F
Credentials:LCSW-A
Other - Prefix:
Other - First Name:MONICA
Other - Middle Name:
Other - Last Name:NZHOBOSHE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:231 COMMERCE ST
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858-5029
Mailing Address - Country:US
Mailing Address - Phone:252-321-8080
Mailing Address - Fax:252-321-7999
Practice Address - Street 1:231 COMMERCE ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-5029
Practice Address - Country:US
Practice Address - Phone:252-321-8080
Practice Address - Fax:252-321-7999
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-27
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0164791041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical