Individual
MR. AZUBIKE INNOCENT ALICHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1325 QUINCY ST NE, WASHINGTON, DC 20017-2615
(202) 813-0454
(202) 813-0454
Mailing address
6828 WALKWAY CT STE B, BRYANS ROAD, MD 20616-6106
(202) 813-0454
(202) 813-0454
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05488800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033478824
—
DC
05
—
0602094
—
NJ
01
—
0904009423
STATE LICENSE
VA
01
—
22945
STATE LICENSE
MD
01
—
44SC05488800
STATE LICENSE
NJ
01
—
LC50080921
STATE LICENSE
DC
Enumeration date
01/06/2012
Last updated
05/08/2024
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