Moji Akinnibi, LMSW

Individual provider Active NPI Social Worker · Gaithersburg, MD

NPI 1407482995 · NPPES record last updated Mar 17, 2020

Key facts

NPI
1407482995
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
16228 (MD)
Practice address
610 E Diamond Ave Ste 100
Gaithersburg, MD 20877-5321
Phone
(301) 840-3200
NPI assigned
Mar 17, 2020
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
16228MDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kadara Multi-Service Inc Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 16228 MD Yes

Addresses

Primary practice location

610 E Diamond Ave Ste 100
Gaithersburg, MD 20877-5321

Mailing address

19706 Greenside Ter
Montgomery Village, MD 20886-1919
Phone (240) 506-6801

Other providers in Gaithersburg, MD

All providers in Gaithersburg, MD · Social Worker in Maryland

Sources for this page

Verify at the official NPI Registry.