Provider Demographics
NPI:1174724165
Name:CURRY, SHONIQUA MONET (MSW, LCSW)
Entity type:Individual
Prefix:MS
First Name:SHONIQUA
Middle Name:MONET
Last Name:CURRY
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:430 QUEEN ANNE RD
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-3231
Mailing Address - Country:US
Mailing Address - Phone:201-362-6114
Mailing Address - Fax:
Practice Address - Street 1:430 QUEEN ANNE RD
Practice Address - Street 2:
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-3231
Practice Address - Country:US
Practice Address - Phone:201-362-6114
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-29
Last Update Date:2009-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL05439000104100000X
NY074206104100000X
NJ44SC053715001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker