Healthcare Provider Details

I. General information

NPI: 1013605047
Provider Name (Legal Business Name): ISATA NJAL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2023
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date: 06/16/2026
Reactivation Date: 09/09/2026

III. Provider practice location address

2759 MARTIN LUTHER KING JR AVE SE
WASHINGTON DC
20032-2646
US

IV. Provider business mailing address

2759 MARTIN LUTHER KING JR AVE SE
WASHINGTON DC
20032-2646
US

V. Phone/Fax

Practice location:
  • Phone: 202-827-9961
  • Fax: 202-827-9963
Mailing address:
  • Phone: 202-827-9961
  • Fax: 202-827-9963

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLG200004571
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: