Kassaye Tekola Moges

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

20034 Issued in MD

Practice address

2000 Dennis Ave Ste 22
Silver Spring, MD 20902-4136

Phone

(703) 731-0094

Fax

(240) 777-1039

NPI assigned

Dec 15, 2021

Last updated

Dec 15, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kassaye.moges.p1@direct.mcg-hhs.nextgenshare.com

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

• Montgomery County Maryland Government

  dba Adult Behavioral Health Clinic

  • Adult Mental Health Clinic/Center
  • Silver Spring, MD
  • NPI 1104946482

  DC

  Medicare reassignment NPD
• Montgomery County Maryland Government

  • Community/Behavioral Health Agency
  • Rockville, MD
  • NPI 1326939570
  NPD
• Montgomery County Maryland Government

  dba Outpatient Addictions Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Rockville, MD
  • NPI 1811394075
  NPD

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

{
    "created_epoch": "1639526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1255090437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 DENNIS AVE STE 22",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209024136",
            "telephone_number": "703-731-0094",
            "fax_number": "240-777-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 DENNIS AVE STE 22",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209024136",
            "telephone_number": "703-731-0094",
            "fax_number": "240-777-1039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOGES",
        "first_name": "KASSAYE",
        "middle_name": "TEKOLA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-15",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "20034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marzieh Mofarrahi, FNP
• Lynne Meryl Mofenson, MD
• Pascaline Ngie Moffor
• Mofikpara a. Wright, MD PC
• Pirooz Saboortinat Mofrad, MD
• Mohammad Yousefi DC PC / Yousefi Chiropractic Clinic
• Sarat Mohammadu, D.D.S
• Zeynia F Mohammed, CERETEFICATE
• Sagal Mohamud, MD
• Sarah E Mohl

• Clinical Social Worker in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.