Active NPI
Azubike Innocent Aliche, LCSW
- Clinical Social Worker
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC05488800
- Practice address
- 1325 Quincy St NE
Washington, DC 20017-2615 - Phone
- (202) 813-0454
- Fax
- (202) 813-0454
- NPI assigned
- Jan 6, 2012
- Last updated
- May 8, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC05488800 | NJ | Primary |
Addresses
Primary practice location
1325 Quincy St NE
Washington, DC 20017-2615
Mailing address
6828 Walkway CT Ste B
Bryans Road, MD 20616-6106
Phone (202) 813-0454
Other practice location 1
717 E Elmer St
Office F
Vineland, NJ 08360-4758
Phone (856) 906-6167
Other practice location 2
1071 E Landis Ave Ste 3
Vineland, NJ 08360-4060
Phone (202) 813-0454
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0904009423 | Other | VA | STATE LICENSE |
| 033478824 | Medicaid | DC | |
| 0602094 | Medicaid | NJ | |
| 44SC05488800 | Other | NJ | STATE LICENSE |
| LC50080921 | Other | DC | STATE LICENSE |
| 22945 | Other | MD | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1020 Saint Paul St
Baltimore, MD 21202-2606
Phone (410) 529-0348
1325 Quincy St NE
Washington, DC 20017-2615
Phone (202) 813-0454
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Power Counseling and Treatment Services, LLC | Clinical | Current | Accepting new patients |
| Salus Health Inc | Current | Accepting new patients | |
| Arise & Shine Health Center LLC | Current | Accepting new patients | |
| Power Counseling PLLC | Clinical | Current | Accepting new patients |
Locations
4400 MacArthur Blvd NW
Ste 304
Washington, DC 20007
Phone (202) 813-0454
1020 Saint Paul St
Baltimore, MD 21202
Phone (410) 529-0348
7452 Baltimore Annapolis Blvd
#200
Glen Burnie, MD 21061
Phone (443) 209-7100
401 Post Office Rd
Ste 1012
Waldorf, MD 20602
Phone (202) 813-0454
1071 E Landis Ave
Ste 3
Vineland, NJ 08360
Phone (202) 813-0454
717 E Elmer St
Ofc F
Vineland, NJ 08360
Phone (856) 906-6167
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatric/Mental Health Registered Nurse
- Waldorf, MD
- NPI 1932658242
Clinical, DC
-
- Clinical Social Worker
- Vineland, NJ
- NPI 1255699013
-
- Nurse Practitioner
- Baltimore, MD
- NPI 1285244004
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Glen Burnie, MD
- NPI 1942824750
-
- Community/Behavioral Health Agency
- Glen Burnie, MD
- NPI 1801580568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715126400000",
"number": "1649540675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6828 WALKWAY CT STE B",
"city": "BRYANS ROAD",
"state": "MD",
"postal_code": "206166106",
"telephone_number": "202-813-0454",
"fax_number": "202-813-0454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 QUINCY ST NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200172615",
"telephone_number": "202-813-0454",
"fax_number": "202-813-0454"
}
],
"practiceLocations": [
{
"address_1": "717 E Elmer St",
"address_2": "Office F",
"address_purpose": "LOCATION",
"city": "Vineland",
"state": "NJ",
"postal_code": "083604758",
"country_code": "US",
"telephone_number": "856-906-6167",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1071 E Landis Ave Ste 3",
"address_purpose": "LOCATION",
"city": "Vineland",
"state": "NJ",
"postal_code": "083604060",
"country_code": "US",
"telephone_number": "202-813-0454",
"fax_number": "202-813-0454",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALICHE",
"first_name": "AZUBIKE",
"middle_name": "INNOCENT",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-01-06",
"last_updated": "2024-05-08",
"certification_date": "2024-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05488800",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "0904009423",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "033478824",
"state": "DC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0602094",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "44SC05488800",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "LC50080921",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "22945",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.