Provider Demographics
NPI:1841089117
Name:IKE, UJU (MSW, LCSWA)
Entity type:Individual
Prefix:
First Name:UJU
Middle Name:
Last Name:IKE
Suffix:
Gender:F
Credentials:MSW, LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:850 SUMNER DR APT 30
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28303-5567
Mailing Address - Country:US
Mailing Address - Phone:910-476-2086
Mailing Address - Fax:
Practice Address - Street 1:850 SUMNER DR APT 30
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28303-5567
Practice Address - Country:US
Practice Address - Phone:910-476-2086
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-03
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0199511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical