Provider Demographics
NPI:1063396307
Name:JECINTA NGECHE ESPSE WAINKEM, TITA ATONGNII
Entity type:Individual
Prefix:
First Name:TITA
Middle Name:ATONGNII
Last Name:JECINTA NGECHE ESPSE WAINKEM
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 1:3408 DODGE PARK RD APT 204
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20785-2019
Mailing Address - Country:US
Mailing Address - Phone:484-326-7800
Mailing Address - Fax:
Practice Address - Street 1:3408 DODGE PARK RD APT 204
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20785-2019
Practice Address - Country:US
Practice Address - Phone:484-326-7800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-31
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker