Provider Demographics
NPI:1679288443
Name:NWAEDI, CHIDIMMA OGOCHUKWU (LCSW)
Entity type:Individual
Prefix:
First Name:CHIDIMMA
Middle Name:OGOCHUKWU
Last Name:NWAEDI
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:922 DUNKIRK LN
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76017-6559
Mailing Address - Country:US
Mailing Address - Phone:682-552-7075
Mailing Address - Fax:
Practice Address - Street 1:922 DUNKIRK LN
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76017-6559
Practice Address - Country:US
Practice Address - Phone:682-233-1775
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-17
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX635851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical