Provider Demographics
NPI:1457949216
Name:ZHU, MENGQI (LCSW)
Entity type:Individual
Prefix:
First Name:MENGQI
Middle Name:
Last Name:ZHU
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ELLA
Other - Middle Name:
Other - Last Name:ZHU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:1421 S WABASH AVE APT 3W
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60605-2846
Mailing Address - Country:US
Mailing Address - Phone:312-928-9351
Mailing Address - Fax:
Practice Address - Street 1:155 N MICHIGAN AVE STE 380
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60601-7710
Practice Address - Country:US
Practice Address - Phone:312-928-9351
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-07
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0253761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL149.025376OtherILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION