Active NPI
Kingsly Fondam Mbah
- Social Worker
- Washington, DC
National Provider Identifier
1265256630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 1400 N Capitol St NW
Washington, DC 20002-3342 - Phone
- (240) 224-6521
- NPI assigned
- Nov 13, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
1400 N Capitol St NW
Washington, DC 20002-3342
Mailing address
2525 Standifer PL
Lanham, MD 20706-2679
Phone (240) 224-6521
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731456000000",
"number": "1265256630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 STANDIFER PL",
"city": "LANHAM",
"state": "MD",
"postal_code": "207062679",
"telephone_number": "240-224-6521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 N CAPITOL ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200023342",
"telephone_number": "240-224-6521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MBAH",
"first_name": "KINGSLY FONDAM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-11-13",
"last_updated": "2024-11-13",
"certification_date": "2024-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.