Provider Demographics
NPI:1114788973
Name:NGUEKENG, ERNEST (LCSW)
Entity Type:Individual
Prefix:
First Name:ERNEST
Middle Name:
Last Name:NGUEKENG
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9324 CANTERBURY RIDING
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20723-1426
Mailing Address - Country:US
Mailing Address - Phone:240-791-1489
Mailing Address - Fax:
Practice Address - Street 1:9324 CANTERBURY RIDING
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20723-1426
Practice Address - Country:US
Practice Address - Phone:240-791-1489
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-18
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker