Barbara Ambomu
Individual provider Active NPI Case Manager/Care Coordinator · Clinton, MD
NPI 1407535396 · NPPES record last updated Jan 23, 2025
Key facts
- NPI
- 1407535396
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 11405 Hershey Red PL
Clinton, MD 20735-2622 - Phone
- (202) 823-8881
- NPI assigned
- Jul 17, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1407535396 | DC | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician |
106S00000X | 1407535396 | DC | |
| Community Health Worker |
172V00000X | |||
| Case Manager/Care Coordinator |
171M00000X | Yes |
Addresses
Primary practice location
11405 Hershey Red PL
Clinton, MD 20735-2622
Mailing address
9517 Muirkirk Rd Apt 101
Laurel, MD 20708-2767
Other providers in Clinton, MD
- Alternative Splutions for Youth
- Altitude Behavioral Care LLC
- Alvin B. Williams, Inc.
- Jacklyn Amankwa-Amoyaw
- Aarohi Ambardekar
- American Continuing Education Solutions
- Francesca Amissah-Ocran
- Maaz Amjed
- Veronica Yvonne Amos
- Olivia C Anaele-Nwogu
All providers in Clinton, MD · Case Manager/Care Coordinator in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.