Active NPI
Wuyah Phylis Gbondo
- Social Worker
- Laurel, MD
National Provider Identifier
1609159201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 29334
- Practice address
- 3401 Lindenwood Drive
Laurel, MD 20724 - Phone
- (301) 793-0361
- NPI assigned
- Sep 21, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 29334 | MD | Primary |
Addresses
Primary practice location
3401 Lindenwood Drive
Laurel, MD 20724
Mailing address
9103 Woodmore Center Dr Ste 659
Lanham, MD 20706-1653
Phone (301) 793-0361
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29334 | MD | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667520000000",
"number": "1609159201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9103 WOODMORE CENTER DR STE 659",
"city": "LANHAM",
"state": "MD",
"postal_code": "207061653",
"telephone_number": "301-793-0361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 LINDENWOOD DRIVE",
"city": "LAUREL",
"state": "MD",
"postal_code": "20724",
"telephone_number": "301-793-0361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GBONDO",
"first_name": "WUYAH",
"middle_name": "PHYLIS",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-21",
"last_updated": "2022-11-04",
"certification_date": "2022-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "29334",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laurel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.