Provider Demographics
NPI:1427485226
Name:UGORJI, YOLAND
Entity type:Individual
Prefix:
First Name:YOLAND
Middle Name:
Last Name:UGORJI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 RIGGS RD NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-2504
Mailing Address - Country:US
Mailing Address - Phone:202-671-6340
Mailing Address - Fax:202-541-3859
Practice Address - Street 1:501 RIGGS RD NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-2504
Practice Address - Country:US
Practice Address - Phone:202-671-6340
Practice Address - Fax:202-541-3859
Is Sole Proprietor?:No
Enumeration Date:2013-10-11
Last Update Date:2013-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLG500782821041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool