Active NPI
Zephaniah Mukendi
- Clinical Social Worker
- Takoma Park, MD
National Provider Identifier
1407381619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC50080669
- Practice address
- 7063 Carroll Ave
Takoma Park, MD 20912-4417 - Phone
- (202) 949-1010
- NPI assigned
- Apr 25, 2017
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 7069 | TN | |
| Clinical Social Worker | 1041C0700X | 33565 | MD | |
| Clinical Social Worker | 1041C0700X | LC50080669 | DC | Primary |
Addresses
Primary practice location
7063 Carroll Ave
Takoma Park, MD 20912-4417
Mailing address
7063 Carroll Ave
Takoma Park, MD 20912-4417
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33565 | MD | MD | Clinical Social Worker |
| 7069 | TN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
| Uplift Health Technologies, Inc. | Current | Accepting new patients |
Locations
1050 30th St NW
Washington, DC 20007
Phone (202) 410-5972
85 5th Ave
Fl 8
New York, NY 10003
Phone (212) 993-7809
Interoperability endpoints
- zephaniahmukendi@tdh.allscriptsdirect.net
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762300800000",
"number": "1407381619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7063 CARROLL AVE",
"city": "TAKOMA PARK",
"state": "MD",
"postal_code": "209124417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7063 CARROLL AVE",
"city": "TAKOMA PARK",
"state": "MD",
"postal_code": "209124417",
"telephone_number": "202-949-1010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUKENDI",
"first_name": "ZEPHANIAH",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-25",
"last_updated": "2025-11-05",
"certification_date": "2025-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "7069",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "33565",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LC50080669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Takoma Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; 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.