Provider Demographics
NPI:1922735927
Name:FREW, MONICA LEIGH (MSW, LMSW)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:LEIGH
Last Name:FREW
Suffix:
Gender:F
Credentials:MSW, LMSW
Other - Prefix:
Other - First Name:MONICA
Other - Middle Name:LEIGH
Other - Last Name:FREW
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW, LMSW
Mailing Address - Street 1:200 TECH CENTER DR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37912-2747
Mailing Address - Country:US
Mailing Address - Phone:865-637-9711
Mailing Address - Fax:
Practice Address - Street 1:3712 MIDDLEBROOK PIKE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37921-6503
Practice Address - Country:US
Practice Address - Phone:865-444-2333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-01
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN15007104100000X
MA1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical