Provider Demographics
NPI:1720875719
Name:LONON, MONICA PRESCOTT
Entity type:Individual
Prefix:DR
First Name:MONICA
Middle Name:PRESCOTT
Last Name:LONON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5690 STONE CROSSING DR
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27104-3747
Mailing Address - Country:US
Mailing Address - Phone:336-409-2686
Mailing Address - Fax:
Practice Address - Street 1:5690 STONE CROSSING DR
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27104-3747
Practice Address - Country:US
Practice Address - Phone:336-409-2686
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-22
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0088751041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical