Provider Demographics
NPI:1588991293
Name:PAGEL, MONA E (MSW, APSW, LCSW)
Entity type:Individual
Prefix:
First Name:MONA
Middle Name:E
Last Name:PAGEL
Suffix:
Gender:F
Credentials:MSW, APSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3518A HIGHLAND COURT DR
Mailing Address - Street 2:
Mailing Address - City:GREEN BAY
Mailing Address - State:WI
Mailing Address - Zip Code:54311-7355
Mailing Address - Country:US
Mailing Address - Phone:715-218-2007
Mailing Address - Fax:
Practice Address - Street 1:414 E WALNUT ST STE 210
Practice Address - Street 2:
Practice Address - City:GREEN BAY
Practice Address - State:WI
Practice Address - Zip Code:54301-5020
Practice Address - Country:US
Practice Address - Phone:715-218-2007
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-17
Last Update Date:2021-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI7584-1231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical