Individual provider Active NPI

Nwokedi Decency Chinaka

  • Clinical Social Worker
  • Stockton, CA
National Provider Identifier
1114488251
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
92818 Issued in CA
Practice address
2423 W March LN Ste 200
Stockton, CA 95207-8250
Phone
(209) 478-9862
NPI assigned
Mar 30, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 92818 CA Primary

Addresses

Primary practice location

2423 W March LN Ste 200
Stockton, CA 95207-8250

Mailing address

2423 W March LN Ste 200
Stockton, CA 95207-8250
Phone (209) 478-9862

Other practice location 1

1149 S.Hill Street
H-375
Los Angeles, CA 90015-2211
Phone (213) 821-5977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
92818CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1553904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1114488251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2423 W MARCH LN STE 200",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952078250",
            "telephone_number": "209-478-9862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2423 W MARCH LN STE 200",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952078250",
            "telephone_number": "209-478-9862"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1149 S.Hill Street",
            "address_2": "H-375",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900152211",
            "country_code": "US",
            "telephone_number": "213-821-5977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHINAKA",
        "first_name": "NWOKEDI",
        "middle_name": "DECENCY",
        "name_prefix": "Prof.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-30",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "92818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.