Clinton Ego

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

6200 Westchester Park Dr Apt 520
College Park, MD 20740-2837

Phone

(240) 714-0295

NPI assigned

Nov 29, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

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": "1669680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1164132338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 WESTCHESTER PARK DR APT 520",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207402837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 WESTCHESTER PARK DR APT 520",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207402837",
            "telephone_number": "240-714-0295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGO",
        "first_name": "CLINTON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-29",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dusk to Dawn LLC
• Stanislus E Eban, HHA
• Ebdl LLC
• Rudolf Esambe Nabola Ebot
• Michael Todd Eckert II, M.S. ATC
• Bernadette I Egwu
• Godwin Ndive Eko, HHA
• Solomon Ekomteh
• Adedayo Adekemisola Ekundayo, PHD CRNP CCRN
• Elaine Ellis Center of Health

• Community Health Worker in College Park, MD
• Providers in College Park, 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 Jul 28, 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.