MEDICARE: OSEKRE INTERNATIONAL ENTERPRISE

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	104100000X	Social Worker	09852	MD
2	104100000X	Social Worker	LC302971	DC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1790893519
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OSEKRE INTERNATIONAL ENTERPRISE

Provider Business Mailing Address
First Line	:	4008 12TH STREET NE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20017
Country	:	US
Telephone Number	:	202-309-5215
Fax Number	:

Provider Business Practice Location Address
First Line	:	4008 12TH STREET NE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20017
Country	:	US
Telephone Number	:	202-309-5215
Fax Number	:

Authorized Official
Title or Position	:	SOCIAL WORKER
Name	:	MS. ADJELEY AMENG OSEKRE
Credential	:	LCSWC LICSW
Telephone Number	:	203-309-5215

Provider Enumeration Date	:	08/29/2006
Last Update Date	:	01/14/2008

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Directions to “OSEKRE INTERNATIONAL ENTERPRISE ” Practice Location

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