Individual provider Active NPI

Cheryl Mawo

  • Clinical Social Worker
  • Silver Spring, MD
National Provider Identifier
1558439489
Registry record updated Jul 8, 2007
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Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
07445 Issued in MD
Practice address
1107 Spring St
Silver Spring, MD 20910-4027
Phone
(301) 558-8990
Fax
(301) 588-8880
NPI assigned
Nov 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 07445 MD Primary

Addresses

Primary practice location

1107 Spring St
Silver Spring, MD 20910-4027

Mailing address

5704 40TH PL
Hyattsville, MD 20781-1726
Phone (301) 588-8990

Other identifiers 2

IdentifierTypeStateIssuer
07445OtherMDCLINICAL SOCIAL WORKER
LC302098OtherDCCLINICAL SOCIAL WORKER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 1, 2021 through Jul 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558439489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5704 40TH PL",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207811726",
            "telephone_number": "301-588-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 SPRING ST",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104027",
            "telephone_number": "301-558-8990",
            "fax_number": "301-588-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAWO",
        "first_name": "CHERYL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "07445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL SOCIAL WORKER",
            "identifier": "07445",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL SOCIAL WORKER",
            "identifier": "LC302098",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.