Provider Demographics
NPI:1659885234
Name:TAMBAJANG-NJIE, KUMBA (BSW,MSW)
Entity type:Individual
Prefix:
First Name:KUMBA
Middle Name:
Last Name:TAMBAJANG-NJIE
Suffix:
Gender:F
Credentials:BSW,MSW
Other - Prefix:
Other - First Name:KUMBA
Other - Middle Name:
Other - Last Name:TAMBAJANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4653 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WHITEHALL
Mailing Address - State:OH
Mailing Address - Zip Code:43213-3298
Mailing Address - Country:US
Mailing Address - Phone:504-287-8891
Mailing Address - Fax:
Practice Address - Street 1:4653 E MAIN ST
Practice Address - Street 2:
Practice Address - City:WHITEHALL
Practice Address - State:OH
Practice Address - Zip Code:43213-3298
Practice Address - Country:US
Practice Address - Phone:504-287-8891
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-19
Last Update Date:2025-06-26
Deactivation Date:2018-01-22
Deactivation Code:
Reactivation Date:2018-04-16
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHYRP841M75168OtherANTHEM