Provider Demographics
NPI:1104430453
Name:NZUWAH, RITA PRISCA (LCSW-C)
Entity type:Individual
Prefix:
First Name:RITA
Middle Name:PRISCA
Last Name:NZUWAH
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7628 S ARBORY LN
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-5534
Mailing Address - Country:US
Mailing Address - Phone:240-481-9441
Mailing Address - Fax:
Practice Address - Street 1:401 HUNGERFORD DR
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-4154
Practice Address - Country:US
Practice Address - Phone:240-293-0898
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-03
Last Update Date:2021-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD19787101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor