Provider Demographics
NPI:1174807515
Name:WORRELL, MONIQUE MELISSA CEMOYE (MSW, DSW)
Entity type:Individual
Prefix:DR
First Name:MONIQUE
Middle Name:MELISSA CEMOYE
Last Name:WORRELL
Suffix:
Gender:F
Credentials:MSW, DSW
Other - Prefix:
Other - First Name:MONIQUE
Other - Middle Name:MELISSA CEMOYE
Other - Last Name:BRANCH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW
Mailing Address - Street 1:1712 MONROE ST NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20018-2371
Mailing Address - Country:US
Mailing Address - Phone:443-624-8296
Mailing Address - Fax:
Practice Address - Street 1:8901 WISCONSIN AVE
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-0001
Practice Address - Country:US
Practice Address - Phone:301-295-1719
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-04
Last Update Date:2020-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500789941041C0700X
MD167511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical