Provider Demographics
NPI:1962891069
Name:SZONN-LILLARD, MONICA MARIE (LISW, ECMHP)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:MARIE
Last Name:SZONN-LILLARD
Suffix:
Gender:F
Credentials:LISW, ECMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7720 RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-9726
Mailing Address - Country:US
Mailing Address - Phone:614-937-5415
Mailing Address - Fax:
Practice Address - Street 1:7720 RIVERSIDE DR
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-9726
Practice Address - Country:US
Practice Address - Phone:614-937-5415
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-13
Last Update Date:2015-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH00081141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical