MEDICARE: EDITH NGOZI NWEKE

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	LC16540	MD

General Provider Information

NPI Number	:	1639065014
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDITH NGOZI NWEKE

Provider Business Mailing Address
First Line	:	404 S CAMP MEADE RD
Second Line	:
City	:	LINTHICUM HTS
State	:	MD
Zip	:	21090-2744
Country	:	US
Telephone Number	:	832-985-0427
Fax Number	:

Provider Business Practice Location Address
First Line	:	404 S CAMP MEADE RD
Second Line	:
City	:	LINTHICUM HTS
State	:	MD
Zip	:	21090-2744
Country	:	US
Telephone Number	:	832-985-0427
Fax Number	:

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

Provider Enumeration Date	:	06/13/2025
Last Update Date	:	06/13/2025

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Directions to “ EDITH NGOZI NWEKE ” Practice Location

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