Individual provider Active NPI

Bernadet Solomon Assefa

  • Social Worker
  • Washington, DC
National Provider Identifier
1033856190
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
4401 8TH St NE
Washington, DC 20017-2200
Phone
(202) 803-8967
NPI assigned
May 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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 Primary

Addresses

Primary practice location

4401 8TH St NE
Washington, DC 20017-2200

Mailing address

706 Venice Dr
Silver Spring, MD 20904-2058
Phone (202) 779-8187

Other practice location 1

706 Venice Dr
Silver Spring, MD 20904-2058
Phone (202) 779-8187

Other practice location 2

706 Venice Dr
Silver Spring, MD 20904-2058
Phone (202) 779-8187

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mundo Verde PCS PastSince May 22, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1033856190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 VENICE DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209042058",
            "telephone_number": "202-779-8187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 8TH ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172200",
            "telephone_number": "202-803-8967"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "706 Venice Dr",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209042058",
            "country_code": "US",
            "telephone_number": "202-779-8187",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "706 Venice Dr",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209042058",
            "country_code": "US",
            "telephone_number": "202-779-8187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASSEFA",
        "first_name": "BERNADET",
        "middle_name": "SOLOMON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.