Provider Demographics
NPI:1063374684
Name:OKONKWO, CHUKWUEMEKA (LCSW)
Entity type:Individual
Prefix:
First Name:CHUKWUEMEKA
Middle Name:
Last Name:OKONKWO
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:777 PRESTON ST APT 15P
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77002-1692
Mailing Address - Country:US
Mailing Address - Phone:419-290-9952
Mailing Address - Fax:
Practice Address - Street 1:777 PRESTON ST APT 15P
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-1692
Practice Address - Country:US
Practice Address - Phone:419-290-9952
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-12-02
Last Update Date:2025-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX600031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical