Individual provider Active NPI

Mwuese Igyor, LGSW

  • Social Worker
  • Baltimore, MD
National Provider Identifier
1003353798
Registry record updated Jan 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
22485 Issued in MD
Practice address
2908 Fleetwood Ave
Baltimore, MD 21214-1207
Phone
(717) 330-4202
NPI assigned
Jan 19, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 22485 MD Primary

Addresses

Primary practice location

2908 Fleetwood Ave
Baltimore, MD 21214-1207

Mailing address

2908 Fleetwood Ave
Baltimore, MD 21214-1207
Phone (717) 330-4202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22485MDMDSocial Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1484784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484784000000",
    "number": "1003353798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2908 FLEETWOOD AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212141207",
            "telephone_number": "717-330-4202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2908 FLEETWOOD AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212141207",
            "telephone_number": "717-330-4202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGYOR",
        "first_name": "MWUESE",
        "credential": "LGSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-19",
        "last_updated": "2017-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "22485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.