Provider Demographics
NPI:1720750177
Name:ASKEW, GLORYA C (LCSW)
Entity Type:Individual
Prefix:DR
First Name:GLORYA
Middle Name:C
Last Name:ASKEW
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 1:2221 PRETTY LAKE AVE UNIT 302
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23518-1049
Mailing Address - Country:US
Mailing Address - Phone:914-772-6027
Mailing Address - Fax:
Practice Address - Street 1:2221 PRETTY LAKE AVE UNIT 302
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23518-1049
Practice Address - Country:US
Practice Address - Phone:914-772-6027
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-04
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0904012382101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health