Provider Demographics
NPI:1851949309
Name:SINGLETON, MONIQUE SHAWNTEE' (LISW)
Entity Type:Individual
Prefix:MRS
First Name:MONIQUE
Middle Name:SHAWNTEE'
Last Name:SINGLETON
Suffix:
Gender:F
Credentials:LISW
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 784
Mailing Address - Street 2:
Mailing Address - City:WALTERBORO
Mailing Address - State:SC
Mailing Address - Zip Code:29488-0008
Mailing Address - Country:US
Mailing Address - Phone:843-584-7393
Mailing Address - Fax:843-977-1711
Practice Address - Street 1:113 E WASHINGTON ST STE F
Practice Address - Street 2:
Practice Address - City:WALTERBORO
Practice Address - State:SC
Practice Address - Zip Code:29488-3977
Practice Address - Country:US
Practice Address - Phone:435-847-3938
Practice Address - Fax:843-977-1711
Is Sole Proprietor?:No
Enumeration Date:2019-08-28
Last Update Date:2020-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC105781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical