Provider Demographics
NPI:1679193478
Name:COX-BEY, SHEIKA R (LCSW)
Entity Type:Individual
Prefix:MS
First Name:SHEIKA
Middle Name:R
Last Name:COX-BEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 198247
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60619-8247
Mailing Address - Country:US
Mailing Address - Phone:773-257-3003
Mailing Address - Fax:
Practice Address - Street 1:7818 S CHAMPLAIN AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60619-3006
Practice Address - Country:US
Practice Address - Phone:773-257-3003
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-21
Last Update Date:2020-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490176311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty