Provider Demographics
NPI:1063665537
Name:BILIMA-BUGINGO, NIKIWE
Entity Type:Individual
Prefix:MRS
First Name:NIKIWE
Middle Name:
Last Name:BILIMA-BUGINGO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:189 WILLARD ST
Mailing Address - Street 2:APARTMENT 304
Mailing Address - City:LEOMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01453-4953
Mailing Address - Country:US
Mailing Address - Phone:269-277-9606
Mailing Address - Fax:
Practice Address - Street 1:332 MAIN ST
Practice Address - Street 2:SUITE 320
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01608-1517
Practice Address - Country:US
Practice Address - Phone:508-752-3969
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-28
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker