Provider Demographics
NPI:1306685714
Name:ASKEW, MONIQUE SHIQUITA (LMSW)
Entity type:Individual
Prefix:
First Name:MONIQUE
Middle Name:SHIQUITA
Last Name:ASKEW
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18300 S HALSTED ST
Mailing Address - Street 2:
Mailing Address - City:GLENWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60425-1046
Mailing Address - Country:US
Mailing Address - Phone:901-949-5652
Mailing Address - Fax:
Practice Address - Street 1:18300 S HALSTED ST
Practice Address - Street 2:
Practice Address - City:GLENWOOD
Practice Address - State:IL
Practice Address - Zip Code:60425-1046
Practice Address - Country:US
Practice Address - Phone:901-949-5652
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-23
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL150.1130081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical