Provider Demographics
NPI:1689404063
Name:CHENWI, BERTRAND MFORBI
Entity type:Individual
Prefix:
First Name:BERTRAND
Middle Name:MFORBI
Last Name:CHENWI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5622 GREGORY DR
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-4122
Mailing Address - Country:US
Mailing Address - Phone:202-469-9048
Mailing Address - Fax:
Practice Address - Street 1:5622 GREGORY DR
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-4122
Practice Address - Country:US
Practice Address - Phone:202-469-9048
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-01
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker