1740703107 NPI number — MONICA CARLA HOYER MSE, LGSW

Table of content: MONICA CARLA HOYER MSE, LGSW (NPI 1740703107)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1740703107 NPI number — MONICA CARLA HOYER MSE, LGSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HOYER
Provider First Name:
MONICA
Provider Middle Name:
CARLA
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MSE, LGSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1740703107
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/22/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1127 TROPICANA PKWY W
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CAPE CORAL
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33993-7243
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
931-637-3873
Provider Business Mailing Address Fax Number:
877-552-1418

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
800 NITRO MARKET PL # 1004
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHARLESTON
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
25313-4408
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
239-218-8466
Provider Business Practice Location Address Fax Number:
877-552-1418
Provider Enumeration Date:
07/18/2017

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  DP00944999 , registered in the state of WV ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 00023815000 , issued by the state of ( WV ) . This identifiers is of the category "MEDICAID".




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