Stanley O Agwanihu, DHA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P021046 Issued in NC

Practice address

1515 W Cornwallis Dr Ste 207
Greensboro, NC 27408-6334

Phone

(551) 226-3603

NPI assigned

Mar 19, 2025

Last updated

Mar 19, 2025By the provider in NPPES

Sex

Male

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": "1742342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1407657125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 HAMILTON ST APT 315",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088732893",
            "telephone_number": "551-226-3603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 W CORNWALLIS DR STE 207",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274086334",
            "telephone_number": "551-226-3603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGWANIHU",
        "first_name": "STANLEY",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "DHA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-19",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P021046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Age Marketing, Inc. (Comfort Keepers 317)
• Elizabeth Bagby Agnew, D.O.
• Eneida Agolli, AU.D.
• Daniela Aguilar Abisad, MD
• Andreeck Ariel Aguilar
• Harriet Agyepong, FNP-BC
• Nneoma Ogonnaya Aham-Iroetugo, PMHNP-BC
• Lindsi Ahearn, CPNP-AC
• Antonia B Ahern, M.D.
• Elizabeth Ahern

• Clinical Social Worker in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; 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.