Provider Demographics
NPI:1598164378
Name:OKORIE-MAZI, UCHECHI FLORENCE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:UCHECHI
Middle Name:FLORENCE
Last Name:OKORIE-MAZI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:FLORENCE
Other - Middle Name:UCHECHI
Other - Last Name:OKORIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:221 STOKE HAMMOND CT
Mailing Address - Street 2:
Mailing Address - City:ROLESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27571-9003
Mailing Address - Country:US
Mailing Address - Phone:919-633-9041
Mailing Address - Fax:
Practice Address - Street 1:4024 BARRETT DR STE 201
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-6625
Practice Address - Country:US
Practice Address - Phone:919-295-0177
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-18
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0100431041C0700X, 101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1598164378Medicaid