Individual
CHIDIMMA MICHELLE ENEKEBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
183 S ORANGE AVE, NEWARK, NJ 07103-2757
(973) 972-1431
Mailing address
671 HOES LANE, PISCATAWAY, NJ 08854
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
44SL06679000
NJ
1041C0700X
Clinical Social Worker
Primary
44SC06466000
NJ
Other
Enumeration date
11/16/2021
Last updated
04/12/2025
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