Provider Demographics
NPI:1609448935
Name:OLOWE, KIZAWANDA AFIA (LCSW)
Entity Type:Individual
Prefix:DR
First Name:KIZAWANDA
Middle Name:AFIA
Last Name:OLOWE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:KIZAWANDA
Other - Middle Name:AFIA
Other - Last Name:MAGGETTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6209 S UNIVERSITY AVE APT 1N
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60637-2769
Mailing Address - Country:US
Mailing Address - Phone:773-430-8391
Mailing Address - Fax:
Practice Address - Street 1:6209 S UNIVERSITY AVE APT 1N
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60637-2769
Practice Address - Country:US
Practice Address - Phone:773-430-8391
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-15
Last Update Date:2021-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490153181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical