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NPI Code Detail

MEDICARE: UCHE OKOLIE LCSW, LICSW

MEDICARE: UCHE OKOLIE LCSW, LICSW
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
11041C0700XClinical Social Worker123186MA
21041C0700XClinical Social Worker100810CA

General Provider Information

NPI Number : 1427526664
Entity Type Code : Individual
Provider Name (Legal Business Name) : UCHE OKOLIE LCSW, LICSW
Provider Business Mailing Address
First Line : 1001 WILSHIRE BLVD # 2056
Second Line :
City : LOS ANGELES
State : CA
Zip : 90017-2415
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1001 WILSHIRE BOULEVARD
Second Line : 2056
City : LOS ANGELES
State : CA
Zip : 90017
Country : US
Telephone Number : 818-724-8077
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2018
Last Update Date : 04/21/2022

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