Individual provider Active NPI

Anthonia Chinenye Ogbenna, LGSW

  • Social Worker
  • Baltimore, MD
National Provider Identifier
1144347253
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
G09390 Issued in MD
Practice address
6401 York Rd
Baltimore, MD 21212-2152
Phone
(410) 887-6696
Fax
(410) 377-9687
NPI assigned
Mar 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X G09390 MD Primary

Addresses

Primary practice location

6401 York Rd
Baltimore, MD 21212-2152

Mailing address

4238 Overton Ave
Nottingham, MD 21236-4010
Phone (410) 663-0077

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
G09390MDMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144347253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4238 OVERTON AVE",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212364010",
            "telephone_number": "410-663-0077",
            "fax_number": "410-377-9687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 YORK RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212122152",
            "telephone_number": "410-887-6696",
            "fax_number": "410-377-9687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGBENNA",
        "first_name": "ANTHONIA",
        "middle_name": "CHINENYE",
        "name_prefix": "Mrs.",
        "credential": "LGSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "G09390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.