Provider Demographics
NPI:1952530289
Name:WHITE, NJIDEKA NZINGA (MSW, LGSW)
Entity Type:Individual
Prefix:MS
First Name:NJIDEKA
Middle Name:NZINGA
Last Name:WHITE
Suffix:
Gender:F
Credentials:MSW, LGSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:64 NEW YORK AVE NE
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-3320
Mailing Address - Country:US
Mailing Address - Phone:202-465-5525
Mailing Address - Fax:
Practice Address - Street 1:4650 BENNING RD SE
Practice Address - Street 2:RM 2053
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-5162
Practice Address - Country:US
Practice Address - Phone:202-939-2030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-08
Last Update Date:2009-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLG50078313174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist