Healthcare Provider Details

I. General information

NPI: 1508575226
Provider Name (Legal Business Name): GABRIEL SESAY N/A
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/21/2022
Last Update Date: 06/13/2023
Certification Date: 06/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1615 RHODE ISLAND AVE NE
WASHINGTON DC
20018-1802
US

IV. Provider business mailing address

1160 VARNUM ST NE STE 216
WASHINGTON DC
20017-2106
US

V. Phone/Fax

Practice location:
  • Phone: 404-934-6513
  • Fax:
Mailing address:
  • Phone: 240-579-9090
  • Fax: 202-459-2284

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number1508575226
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: