Provider Demographics
NPI:1902050065
Name:ASKEW-GINGERICH, TANISHA MICHELE (MSSA,CDCA,LSW)
Entity Type:Individual
Prefix:MS
First Name:TANISHA
Middle Name:MICHELE
Last Name:ASKEW-GINGERICH
Suffix:
Gender:F
Credentials:MSSA,CDCA,LSW
Other - Prefix:
Other - First Name:TANISHA
Other - Middle Name:MICHELE
Other - Last Name:ASKEW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:TANISHA GINGERICH
Mailing Address - Street 1:14055 CEDAR RD STE 107
Mailing Address - Street 2:
Mailing Address - City:UNIVERSITY HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44118-3333
Mailing Address - Country:US
Mailing Address - Phone:216-371-3420
Mailing Address - Fax:216-371-3430
Practice Address - Street 1:14055 CEDAR RD STE 107
Practice Address - Street 2:
Practice Address - City:UNIVERSITY HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44118-3333
Practice Address - Country:US
Practice Address - Phone:216-371-3420
Practice Address - Fax:216-371-3430
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-15
Last Update Date:2008-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS07005951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical