Provider Demographics
NPI:1831462324
Name:HOPE, MONIQUE (LSW)
Entity Type:Individual
Prefix:MS
First Name:MONIQUE
Middle Name:
Last Name:HOPE
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:82 JASPER AVE
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-3817
Mailing Address - Country:US
Mailing Address - Phone:201-449-6207
Mailing Address - Fax:
Practice Address - Street 1:82 JASPER AVE
Practice Address - Street 2:
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-3817
Practice Address - Country:US
Practice Address - Phone:201-449-6207
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-15
Last Update Date:2012-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL05702100104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker