Akamin Victor Nkengaka, PH.D., LCSW, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW03186 Issued in RI

Practice address

5410 Maryland Way
Brentwood, TN 37027-5064

Phone

(855) 212-2273

NPI assigned

Aug 9, 2018

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Victory Health Solution LLC

  • Clinical Social Worker
  • Baton Rouge, LA
  • NPI 1851254783
  NPD Authorized official
• Victory Health Solutions, LLC

  • Community/Behavioral Health Agency
  • Baton Rouge, LA
  • NPI 1255705901
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700784000000",
    "number": "1083193114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2337 LAURELWOOD DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708163045",
            "telephone_number": "318-294-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5410 MARYLAND WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275064",
            "telephone_number": "855-212-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Pelican Bayou Counseling Services",
            "address_2": "3084 Westfolk Drive",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "70816",
            "country_code": "US",
            "telephone_number": "225-296-6083",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2138 Wooddale Blvd Ste 18",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708061401",
            "country_code": "US",
            "telephone_number": "225-888-4415",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Center for Autism and Other Related Disorders (CARD)",
            "address_2": "230 Veterans Blvd",
            "address_purpose": "LOCATION",
            "city": "Demham Springs",
            "state": "LA",
            "postal_code": "70726",
            "country_code": "US",
            "telephone_number": "225-349-7965",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "560 Belle Terre Blvd",
            "address_purpose": "LOCATION",
            "city": "LA Place",
            "state": "LA",
            "postal_code": "700681715",
            "country_code": "US",
            "telephone_number": "895-652-0078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NKENGAKA",
        "first_name": "AKAMIN",
        "middle_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "PH.D., LCSW, LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-09",
        "last_updated": "2023-11-24",
        "certification_date": "2023-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "LCI12800718",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "10551",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DE",
            "license": "Q0000185",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "GA",
            "license": "G0088",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "CSW03186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER IDENTIFICATION",
            "identifier": "1255705901",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Niesen, FNP
• Srinivas Nimmagadda, MD
• Jean Tertulle Nivrose
• Chelsea Taylor Nixon, LCSW
• Frederick Justin Nixon, LPC-MHSP, NCC
• Nneamaka Nwubah LLC
• Noesis Dental PLLC
• Tobias Nolen
• Jeffery Stephen Norman, PA
• Holly Faye Norris, CNIM

• Clinical Social Worker in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.