David Nkong Fomanka, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC200002967 Issued in DC

Practice address

2759 Martin Luther King Jr Ave SE Ste 301
Washington, DC 20032-2651

Phone

(202) 827-9961

Fax

(202) 827-9963

NPI assigned

Feb 3, 2023

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• David Nkong Fomanka Other name

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

Practice roles

Locations

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.

• Mbi Health Services LLC

  • Community/Behavioral Health Agency
  • Washington, DC
  • NPI 1396048070
  Medicare reassignment NPD
• New Hope Health Services, LLC

  • Adult Mental Health Clinic/Center
  • Washington, DC
  • NPI 1437628914
  NPD
• The Family Wellness Center, Inc

  • Community/Behavioral Health Agency
  • Washington, DC
  • NPI 1609141704
  NPD
• The Family Wellness Center, Inc

  • Case Management Agency
  • Washington, DC
  • NPI 1437534740
  NPD (past)

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

{
    "created_epoch": "1675382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1376249110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7711 RIVERDALE RD APT 102",
            "city": "NEW CARROLLTON",
            "state": "MD",
            "postal_code": "207843940",
            "telephone_number": "443-985-7985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2759 MARTIN LUTHER KING JR AVE SE STE 301",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200322651",
            "telephone_number": "202-827-9961",
            "fax_number": "202-827-9963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4130 Hunt Pl NE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200193565",
            "country_code": "US",
            "telephone_number": "202-388-4300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOMANKA",
        "first_name": "DAVID",
        "middle_name": "NKONG",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-03",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC200002967",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "DC",
            "license": "LC200002967",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000005507",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVID",
            "last_name": "FOMANKA",
            "middle_name": "NKONG",
            "credential": "NKONG",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Essivi Folly
• Adenike Oluyemisi Folorunsho
• Morufat Folorunsho
• Teresa Folorunso
• Genevieve Makamtchueng Fom
• Jersy Fomanka, HHA
• Ngoh Raphael Fomba
• Victor Fomba
• Julius Fombah
• Marie Yvonne Fombason

• Clinical Social Worker in Washington, DC
• Providers in Washington, DC by specialty
• Clinical Social Worker in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; 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.