Active NPI
Mambo Awasum-Henry
- Social Worker
- Homestead, FL
National Provider Identifier
1205252145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LG50083209
- Practice address
- 654 NE 9TH PL
Homestead, FL 33030-4934 - Phone
- (305) 248-3488
- Fax
- (305) 248-3499
- NPI assigned
- Mar 17, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Social Worker | 104100000X | LG50083209 | DC | Primary |
Addresses
Primary practice location
654 NE 9TH PL
Homestead, FL 33030-4934
Mailing address
654 NE 9TH PL
Homestead, FL 33030-4934
Phone (305) 248-3488
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
| License | State | Type | Specialty |
|---|---|---|---|
| LG50083209 | DC | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741910400000",
"number": "1205252145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "654 NE 9TH PL",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330304934",
"telephone_number": "305-248-3488",
"fax_number": "305-248-3499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "654 NE 9TH PL",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330304934",
"telephone_number": "305-248-3488",
"fax_number": "305-248-3499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AWASUM-HENRY",
"first_name": "MAMBO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-17",
"last_updated": "2025-03-14",
"certification_date": "2025-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "DC",
"license": "LG50083209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Homestead, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.