Individual provider Active NPI

Aisha Abdallah Kitwara

  • Clinical Social Worker
  • Upper Marlboro, MD
National Provider Identifier
1134713118
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LG200004386 Issued in DC
Practice address
1450 Mercantile LN Ste 111
Upper Marlboro, MD 20774-5382
Phone
(301) 925-7610
NPI assigned
Feb 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LG200004386 DC Primary
Community Health Worker 172V00000X

Addresses

Primary practice location

1450 Mercantile LN Ste 111
Upper Marlboro, MD 20774-5382

Mailing address

2707 Saint Josephs Dr
Bowie, MD 20721-2992
Phone (240) 593-2652

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

State licenses

LicenseStateTypeSpecialty
LG200004386DCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1613865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1134713118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 SAINT JOSEPHS DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207212992",
            "telephone_number": "240-593-2652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 MERCANTILE LN STE 111",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207745382",
            "telephone_number": "301-925-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITWARA",
        "first_name": "AISHA",
        "middle_name": "ABDALLAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-21",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LG200004386",
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; 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.