Healthcare Provider Details

I. General information

NPI: 1245105139
Provider Name (Legal Business Name): NYENPU KAMEI LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2025
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

940 MADISON AVE STE 202
BALTIMORE MD
21201-2113
US

IV. Provider business mailing address

940 MADISON AVE STE 202
BALTIMORE MD
21201-2113
US

V. Phone/Fax

Practice location:
  • Phone: 443-563-8516
  • Fax: 410-559-5855
Mailing address:
  • Phone: 443-563-8516
  • Fax: 410-559-5855

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLG200002790
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number28612
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: