Individual provider Active NPI

Mariama Jawara

  • Case Manager/Care Coordinator
  • Bowie, MD
National Provider Identifier
1679281513
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
1511 Kingsgate St
Bowie, MD 20721-2033
Phone
(240) 408-2005
NPI assigned
Nov 9, 2022
Last updated
May 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X DC Primary
Mental Health Counselor 101YM0800X MD

Addresses

Primary practice location

1511 Kingsgate St
Bowie, MD 20721-2033

Mailing address

1304 N Capitol St NW
Washington, DC 20002-3360
Phone (202) 800-4387

Other identifiers 2

IdentifierTypeStateIssuer
J600585009244OtherMDDL
J600585009244OtherMDDRIVERS LISEAN

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

NPI Registry JSON

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

{
    "created_epoch": "1667952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1679281513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 N CAPITOL ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200023360",
            "telephone_number": "202-800-4387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 KINGSGATE ST",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207212033",
            "telephone_number": "240-408-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAWARA",
        "first_name": "MARIAMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-09",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "DC",
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DL",
            "identifier": "J600585009244",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LISEAN",
            "identifier": "J600585009244",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.