Provider Demographics
NPI:1144371113
Name:MONREAL, AMALIA JOYCE (LMSW)
Entity type:Individual
Prefix:
First Name:AMALIA
Middle Name:JOYCE
Last Name:MONREAL
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:AMALIA
Other - Middle Name:MONREAL
Other - Last Name:MCCARTTHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1901 DAVIS AVE.
Mailing Address - Street 2:#A5
Mailing Address - City:JUNEAU
Mailing Address - State:AK
Mailing Address - Zip Code:99801
Mailing Address - Country:US
Mailing Address - Phone:907-463-6646
Mailing Address - Fax:
Practice Address - Street 1:3245 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:JUNEAU
Practice Address - State:AK
Practice Address - Zip Code:99801-7809
Practice Address - Country:US
Practice Address - Phone:907-463-6646
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK643104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker