Provider Demographics
NPI:1548545064
Name:MORIBER, MONA (LCSW R)
Entity type:Individual
Prefix:
First Name:MONA
Middle Name:
Last Name:MORIBER
Suffix:
Gender:F
Credentials:LCSW R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 OLD BOSTON POST RD
Mailing Address - Street 2:UNIT #24
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-5358
Mailing Address - Country:US
Mailing Address - Phone:914-356-6123
Mailing Address - Fax:
Practice Address - Street 1:80 OLD BOSTON POST RD
Practice Address - Street 2:UNIT #24
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-5358
Practice Address - Country:US
Practice Address - Phone:914-356-6123
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-16
Last Update Date:2011-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYRO38867-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical