Provider Demographics
NPI:1225396054
Name:BANJOKO, AREWA AJIKE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:AREWA
Middle Name:AJIKE
Last Name:BANJOKO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1238 HAWKS NEST DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77067-3963
Mailing Address - Country:US
Mailing Address - Phone:281-875-9866
Mailing Address - Fax:
Practice Address - Street 1:1238 HAWKS NEST DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77067-3963
Practice Address - Country:US
Practice Address - Phone:281-875-9866
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-30
Last Update Date:2012-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX324251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical