Provider Demographics
NPI:1285417543
Name:MONROY, JOSE ALFREDO (LMSW)
Entity type:Individual
Prefix:
First Name:JOSE
Middle Name:ALFREDO
Last Name:MONROY
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1932 MARTIN AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-3810
Mailing Address - Country:US
Mailing Address - Phone:801-885-1582
Mailing Address - Fax:
Practice Address - Street 1:1932 MARTIN AVE
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-3810
Practice Address - Country:US
Practice Address - Phone:801-885-1582
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-18
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX108866104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker