Provider Demographics
NPI:1215051297
Name:CHIKE, AJIBIKE O
Entity type:Individual
Prefix:
First Name:AJIBIKE
Middle Name:O
Last Name:CHIKE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:AJIBIKE
Other - Middle Name:O
Other - Last Name:BROWNE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRC
Mailing Address - Street 1:1231 GOOD HOPE RD SE STE 108
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20020-6907
Mailing Address - Country:US
Mailing Address - Phone:202-596-9536
Mailing Address - Fax:
Practice Address - Street 1:1231 GOOD HOPE RD SE STE 108
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-6907
Practice Address - Country:US
Practice Address - Phone:202-596-9536
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLGPC200001448101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD705371101Medicaid