MEDICARE: NANCY I NWOGU LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	PRC200001387	DC
2	101YM0800X	Mental Health Counselor	LC16897	MD

General Provider Information

NPI Number	:	1194383364
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCY I NWOGU LPC

Provider Business Mailing Address
First Line	:	712 H ST NE STE 1937
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20002-3627
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	712 H ST NE STE 1937
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20002-3627
Country	:	US
Telephone Number	:	202-394-0426
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2019
Last Update Date	:	11/03/2025

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