Provider Demographics
NPI:1841049954
Name:SINGLETON, PRESTINA MARIA (LCSW)
Entity type:Individual
Prefix:MS
First Name:PRESTINA
Middle Name:MARIA
Last Name:SINGLETON
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 1:710 E 47TH ST STE 203W
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60653-0120
Mailing Address - Country:US
Mailing Address - Phone:773-655-3630
Mailing Address - Fax:
Practice Address - Street 1:710 E 47TH ST STE 203W
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60653-0120
Practice Address - Country:US
Practice Address - Phone:773-655-3630
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-13
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490271781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical