Individual provider Active NPI

Azubike Innocent Aliche, LCSW

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1649540675
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05488800 Issued in NJ
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 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 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

IdentifierTypeStateIssuer
0904009423OtherVASTATE LICENSE
033478824MedicaidDC
0602094MedicaidNJ
44SC05488800OtherNJSTATE LICENSE
LC50080921OtherDCSTATE LICENSE
22945OtherMDSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, DC, MD3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20120727000069 NJ Practitioner - Clinical Social Worker 2062678501 Reassigns benefits to 1 organization
I20170109002757 DC Practitioner - Clinical Social Worker 2062678501 Reassigns benefits to 1 organization
I20230427000132 MD Practitioner - Clinical Social Worker 2062678501 Reassigns benefits to 2 organizations

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
Salus Health Inc.Group PAC ID 8123436540, 13 clinicians
Power Counseling PLLCGroup PAC ID 2769763671, 3 clinicians

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

OrganizationSpecialtyStatusNew patients
Power Counseling and Treatment Services, LLC Clinical CurrentSince Jun 9, 2012 Accepting new patients
Salus Health Inc CurrentSince Apr 14, 2025 Accepting new patients
Arise & Shine Health Center LLC CurrentSince Jun 11, 2023 Accepting new patients
Power Counseling PLLC Clinical CurrentSince Nov 14, 2016 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.

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

Verify at the official NPI Registry.