Provider Demographics
NPI:1144472200
Name:CASTLE, MONICA LYNN (MED, SAC LMHC)
Entity type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:LYNN
Last Name:CASTLE
Suffix:
Gender:F
Credentials:MED, SAC LMHC
Other - Prefix:
Other - First Name:MONICA
Other - Middle Name:LYNN
Other - Last Name:REGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MED, SAC LMHC
Mailing Address - Street 1:17 ALMONT ST
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02155-2716
Mailing Address - Country:US
Mailing Address - Phone:774-285-9414
Mailing Address - Fax:
Practice Address - Street 1:17 ALMONT ST
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02155-2716
Practice Address - Country:US
Practice Address - Phone:747-285-9414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-21
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8524101YM0800X
101YM0800X
MA435651101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health