Provider Demographics
NPI:1306967575
Name:DUBINA, MONICA M (MSW, LCSW, LCAC)
Entity type:Individual
Prefix:MS
First Name:MONICA
Middle Name:M
Last Name:DUBINA
Suffix:
Gender:F
Credentials:MSW, LCSW, LCAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5991 S COUNTY ROAD 700 E
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46168-9062
Mailing Address - Country:US
Mailing Address - Phone:317-451-4105
Mailing Address - Fax:317-838-3787
Practice Address - Street 1:5991 S COUNTY ROAD 700 E
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IN
Practice Address - Zip Code:46168-9062
Practice Address - Country:US
Practice Address - Phone:317-451-4105
Practice Address - Fax:317-838-3787
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2011-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN87000535AOtherLCAC
IN12078OtherICAADA
IN34006056AOtherLCSW