Provider Demographics
NPI:1508255746
Name:ONWUEME, KUNUME (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:KUNUME
Middle Name:
Last Name:ONWUEME
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 1:1133 HUNTWYCK CT
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60120-5105
Mailing Address - Country:US
Mailing Address - Phone:612-735-2973
Mailing Address - Fax:
Practice Address - Street 1:1133 HUNTWYCK CT
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60120-5105
Practice Address - Country:US
Practice Address - Phone:612-735-2973
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-12
Last Update Date:2015-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490152931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical