Provider Demographics
NPI:1750878229
Name:ONYENACHI, FELICIA (DOCTOR OF SOCIAL WOR)
Entity type:Individual
Prefix:DR
First Name:FELICIA
Middle Name:
Last Name:ONYENACHI
Suffix:
Gender:F
Credentials:DOCTOR OF SOCIAL WOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:143 KENNEDY ST NW STE 16
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-5268
Mailing Address - Country:US
Mailing Address - Phone:202-899-8139
Mailing Address - Fax:
Practice Address - Street 1:2105 COLONEL WAY
Practice Address - Street 2:
Practice Address - City:ODENTON
Practice Address - State:MD
Practice Address - Zip Code:21113-1004
Practice Address - Country:US
Practice Address - Phone:301-247-7940
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-19
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X, 101YP2500X
DCLG1000531104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional