Provider Demographics
NPI:1184020372
Name:OGUINE, CAROLINE NKECHI (LCSW-C)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:NKECHI
Last Name:OGUINE
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3613 WHITE AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21206-3413
Mailing Address - Country:US
Mailing Address - Phone:443-803-6358
Mailing Address - Fax:
Practice Address - Street 1:3613 WHITE AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21206-3413
Practice Address - Country:US
Practice Address - Phone:443-803-6358
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-14
Last Update Date:2014-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD204741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical