Healthcare Provider Details

I. General information

NPI: 1942092135
Provider Name (Legal Business Name): NKEIRU OKWEGBA LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2025
Last Update Date: 05/21/2025
Certification Date: 05/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14695 BRIAR FOREST DR APT 1302
HOUSTON TX
77077-2703
US

IV. Provider business mailing address

14695 BRIAR FOREST DR APT 1302
HOUSTON TX
77077-2703
US

V. Phone/Fax

Practice location:
  • Phone: 346-383-1872
  • Fax:
Mailing address:
  • Phone: 346-383-1872
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number107516
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: