Divine Fombu, CSW

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Practice address

13817 Briarwood Dr Apt 1123
Laurel, MD 20708-1345

Phone

(240) 476-3253

NPI assigned

Apr 9, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1891051413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 HAMPSHIRE GREEN LN",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209032416",
            "telephone_number": "202-545-0935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13817 BRIARWOOD DR APT 1123",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207081345",
            "telephone_number": "240-476-3253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOMBU",
        "first_name": "DIVINE",
        "credential": "CSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-09",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brice Kadji Fogan
• Paul Fokoua
• Maxim Fokwen
• Folbel Medical LLC
• Rosemary Nguatem Folefa Fonya, RN
• Julius Fomengia
• Akafuet Fominka
• Njifor Henry Fominka
• Charles Suh Toh Fon
• Louis Fon

• Case Management Agency in Laurel, MD
• Providers in Laurel, MD by specialty
• Case Management Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; 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.