Favour Sesay

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

MD10272380003 Issued in MD

Practice address

12613 Lunan Rd
Clinton, MD 20735-1134

Phone

(240) 354-5211

NPI assigned

Aug 27, 2026

Last updated

Aug 27, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1787788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1124935721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12613 LUNAN RD",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207351134",
            "telephone_number": "240-354-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12613 LUNAN RD",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207351134",
            "telephone_number": "240-354-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SESAY",
        "first_name": "FAVOUR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-08-27",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "MD",
            "license": "MD10272380003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy L Seagroves, LCSW-C, LCSW
• Ayanna T.C. Seide, LGPC
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• Jacqueline Servais, DMD
• Samir Fayiz Shabshab
• David N Shaffer, M.D.
• Harshal P Shah, D.O
• Mansi Hitendra Shah
• Mitesh V Shah, D.O.

• Community Health Worker in Clinton, MD
• Providers in Clinton, MD by specialty
• Community Health Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; 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.