Active NPI
Allelign Sisay
- Clinical Social Worker
- Silver Spring, MD
National Provider Identifier
1760155428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 08750
- Practice address
- 1124 Heartfields Dr
Silver Spring, MD 20904-2124 - Phone
- (301) 467-0924
- NPI assigned
- Jul 28, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 08750 | MD | Primary |
Addresses
Primary practice location
1124 Heartfields Dr
Silver Spring, MD 20904-2124
Mailing address
1124 Heartfields Dr
Silver Spring, MD 20904-2124
Phone (301) 467-0924
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08750 | Other | MD | SOCIAL WORK LICENSE |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627430400000",
"number": "1760155428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1124 HEARTFIELDS DR",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209042124",
"telephone_number": "301-467-0924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1124 HEARTFIELDS DR",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209042124",
"telephone_number": "301-467-0924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SISAY",
"first_name": "ALLELIGN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-07-28",
"last_updated": "2021-07-28",
"certification_date": "2021-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "08750",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOCIAL WORK LICENSE",
"identifier": "08750",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.