Yolanda Ezeugwu, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149012398 Issued in IL

Practice address

2240 Winrow Ave
USA Meddac, Rwbahc
Fort Huachuca, AZ 85613

Phone

(520) 533-2460

NPI assigned

Jun 27, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498521600000",
    "number": "1407376817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 17TH ST",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612013608",
            "telephone_number": "309-269-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 WINROW AVE",
            "address_2": "USA MEDDAC, RWBAHC",
            "city": "FORT HUACHUCA",
            "state": "AZ",
            "postal_code": "85613",
            "telephone_number": "520-533-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZEUGWU",
        "first_name": "YOLANDA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2017-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149012398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karlaye Dimanche-Rafindadi, PH.D
• Quynh Ngan Ngoc DO, DDS
• Annika Rose Dunmire
• William David Dunn Jr., FNP
• Kristine J Encinas, LPN
• George Fauber, LPN
• Austin Feltman, DNP
• Brittaney Ryan Ferrell, LCSW
• Isabel Garcia Flores, DPT
• Chrisann Foret, LPN

• Clinical Social Worker in Fort Huachuca, AZ
• Providers in Fort Huachuca, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2017; 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.