Ekene Therapeutic Services

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

EKENE THERAPEUTIC SERVICES

Practice address

3630 Tyrol Dr
Glenarden, MD 20774-2617

Phone

(718) 536-0850

NPI assigned

Feb 15, 2024

Last updated

Feb 15, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ekene Veronica Elumelu, LICSWNPI 1902453905

Title

Clinical Social Worker

Phone

(718) 536-0850

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ekene Veronica Elumelu, LMSW

  • Clinical Social Worker
  • Queens Village, NY
  • NPI 1902453905

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1093570335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3630 TYROL DR",
            "city": "GLENARDEN",
            "state": "MD",
            "postal_code": "207742617",
            "telephone_number": "718-536-0850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 TYROL DR",
            "city": "GLENARDEN",
            "state": "MD",
            "postal_code": "207742617",
            "telephone_number": "718-536-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EKENE THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-15",
        "certification_date": "2023-05-22",
        "status": "A",
        "authorized_official_last_name": "ELUMELU",
        "authorized_official_first_name": "EKENE",
        "authorized_official_middle_name": "VERONICA",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "718-536-0850",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Social Worker in Glenarden, MD
• Providers in Glenarden, MD by specialty
• Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.