Nigel O'Don Moffitt-Shabazz

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LG200003316 Issued in DC

Practice address

2041 Martin Luther King Jr Ave SE
Washington, DC 20020-7024

Phone

(202) 547-8450

Fax

(202) 388-4339

NPI assigned

Aug 22, 2025

Last updated

Aug 22, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1755820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1689552259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4218 TULSA DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274066343",
            "telephone_number": "336-965-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 MARTIN LUTHER KING JR AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200207024",
            "telephone_number": "202-547-8450",
            "fax_number": "202-388-4339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOFFITT-SHABAZZ",
        "first_name": "NIGEL",
        "middle_name": "O'DON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-22",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "DC",
            "license": "LG200003316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regina Raquelle Modzel, PTA
• Letumile Rodgers Moeng, MD
• Masango Mofa
• Samuel Alexander Moffet
• Kayla Ellise Moffett, MD
• Philippa H Moffitt-Woods, MD
• Kamta Moffo
• Delphine Bidmia Moffor
• Sonia Anyim Mofor Epse Asanga
• Quinta E Mofor Ngeh

• Social Worker in Washington, DC
• Providers in Washington, DC by specialty
• Social Worker in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; 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.