Active NPI
Melvis Ndibabonga Asongwed, LCSW-C
- Clinical Social Worker
- Accokeek, MD
National Provider Identifier
1336409499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 22426
- Practice address
- 404 Dyer Dr
Accokeek, MD 20607-9576 - Phone
- (202) 322-4707
- NPI assigned
- May 23, 2012
- Last updated
- Apr 6, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Psychologist | 103TF0200X | NU | ||
| Clinical Social Worker | 1041C0700X | 22426 | MD | Primary |
| Home Health Aide | 374U00000X | NU |
Addresses
Primary practice location
404 Dyer Dr
Accokeek, MD 20607-9576
Mailing address
404 Dyer Dr
Accokeek, MD 20607-9576
Phone (202) 322-4707
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 |
|---|---|---|---|
| 22426 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Melvis Behavioral Health & Forensic Consultancy LLC | Forensic | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Accokeek, MD
- NPI 1396440376
Forensic
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680739200000",
"number": "1336409499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 DYER DR",
"city": "ACCOKEEK",
"state": "MD",
"postal_code": "206079576",
"telephone_number": "202-322-4707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 DYER DR",
"city": "ACCOKEEK",
"state": "MD",
"postal_code": "206079576",
"telephone_number": "202-322-4707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASONGWED",
"first_name": "MELVIS",
"middle_name": "NDIBABONGA",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-23",
"last_updated": "2023-04-06",
"certification_date": "2023-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "22426",
"primary": true
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Accokeek, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.