Provider Demographics
NPI:1477985828
Name:AHANIHU, CHIOMA EVANGELINE (MSW)
Entity Type:Individual
Prefix:MS
First Name:CHIOMA
Middle Name:EVANGELINE
Last Name:AHANIHU
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 HANNES ST
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20901-1104
Mailing Address - Country:US
Mailing Address - Phone:202-460-7519
Mailing Address - Fax:
Practice Address - Street 1:305 HANNES ST
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901-1104
Practice Address - Country:US
Practice Address - Phone:202-460-7519
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-07
Last Update Date:2013-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLG50080587104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker