Provider Demographics
NPI:1487935177
Name:OKONKWO, RIVA JEAN (LCSW)
Entity type:Individual
Prefix:MS
First Name:RIVA
Middle Name:JEAN
Last Name:OKONKWO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 820902
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77282-0902
Mailing Address - Country:US
Mailing Address - Phone:832-729-9843
Mailing Address - Fax:281-497-5156
Practice Address - Street 1:7457 HARWIN DR
Practice Address - Street 2:SUITE 243H
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-2018
Practice Address - Country:US
Practice Address - Phone:832-729-9843
Practice Address - Fax:281-497-5156
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-08
Last Update Date:2011-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX131771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical