Provider Demographics
NPI:1548715451
Name:PILGRIM, TOMARO MONIQUE (HS-BCP, LMSW, DOULA)
Entity type:Individual
Prefix:MRS
First Name:TOMARO
Middle Name:MONIQUE
Last Name:PILGRIM
Suffix:
Gender:F
Credentials:HS-BCP, LMSW, DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1261 PARISH AVE
Mailing Address - Street 2:
Mailing Address - City:CLAYMONT
Mailing Address - State:DE
Mailing Address - Zip Code:19703-3338
Mailing Address - Country:US
Mailing Address - Phone:856-542-8861
Mailing Address - Fax:
Practice Address - Street 1:1261 PARISH AVE
Practice Address - Street 2:
Practice Address - City:CLAYMONT
Practice Address - State:DE
Practice Address - Zip Code:19703-3338
Practice Address - Country:US
Practice Address - Phone:856-542-8861
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-20
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X, 101YM0800X, 106H00000X, 374J00000X
DEQ3-0010983104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No374J00000XNursing Service Related ProvidersDoula