Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Monica C Liceaga, BS

Individual provider Community Health Worker · NPI 1730844036

Monica C Liceaga, BS is a Community Health Worker in Jefferson, Wisconsin. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
What do these letters mean?
BS — Bachelor of Science
An undergraduate science degree.

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Practice location Address checks out

1541 Annex Rd
Jefferson, WI 53549-9803
Phone: (920) 674-8796
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Community Health Worker Taxonomy 172V00000X

Record details

NPI number1730844036
Entity typeIndividual (Type 1)
GenderFemale
Credentials BS
Sole proprietorNo
NPI enumeratedNovember 2, 2021
Last updated in NPPESNovember 2, 2021
Certification dateNovember 2, 2021

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