NPI 1023311875

Monica Willis, LCSWEDD

Practitioner Clinical Social Worker Gainesville, GA

Practice location

Address: 1211 Sherwood Park Dr NE STE B, Gainesville, GA 30501-3444
Phone: (770) 219-9179
Mailing address: PO Box 742616, Atlanta, GA 30374-2616

Registered specialties (2)

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence CSW004591 (GA)

Other Social Worker providers in Georgia →

Social Worker

Behavioral Health & Social Service Providers Taxonomy 104100000X Licence BL-008203 (GA)

Registry record

NPI: 1023311875
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Dec 2010
Record last updated: 16 Feb 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.