Provider Demographics
NPI:1548837040
Name:OGWO-NDUKWE, OGECHI (LCSW)
Entity type:Individual
Prefix:MS
First Name:OGECHI
Middle Name:
Last Name:OGWO-NDUKWE
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 1:451 CLARKSON AVE
Mailing Address - Street 2:E BUILDING 6TH FLOOR
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203-2054
Mailing Address - Country:US
Mailing Address - Phone:718-245-3540
Mailing Address - Fax:718-774-3062
Practice Address - Street 1:451 CLARKSON AVE
Practice Address - Street 2:E BUILDING 6TH FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-2054
Practice Address - Country:US
Practice Address - Phone:718-245-3540
Practice Address - Fax:718-774-3062
Is Sole Proprietor?:No
Enumeration Date:2021-06-04
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY082546Medicaid