Active NPI
Abena Ameyaa Effah Habia, LGSW
- Clinical Social Worker
- Washington, DC
National Provider Identifier
1275150666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LG50082971
- Practice address
- 1160 Varnum St NE
Washington, DC 20017-2107 - Phone
- (202) 723-1212
- NPI assigned
- Jul 1, 2020
- Reactivated
- Mar 21, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LG50082971 | DC | Primary |
Addresses
Primary practice location
1160 Varnum St NE
Washington, DC 20017-2107
Mailing address
6708 Tower Dr
Alexandria, VA 22306-6734
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00000 | Other | DC | OTHER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Securenetwork |
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 |
|---|---|---|---|
| LG50082971 | DC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allied Integrated Health Services LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Washington, DC
- NPI 1780529131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679356800000",
"number": "1275150666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6708 TOWER DR",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223066734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1160 VARNUM ST NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200172107",
"telephone_number": "202-723-1212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HABIA",
"first_name": "ABENA",
"middle_name": "AMEYAA EFFAH",
"credential": "LGSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-01",
"last_updated": "2023-03-21",
"certification_date": "2023-03-21",
"deactivation_date": "2020-08-17",
"reactivation_date": "2023-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LG50082971",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER",
"identifier": "00000",
"state": "DC"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Securenetwork",
"affiliation": "N",
"address_1": "1160 Varnum St NE",
"city": "Washington",
"state": "DC",
"country_code": "US",
"postal_code": "200172107",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Mar 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.