Healthcare Provider Details

I. General information

NPI: 1639433808
Provider Name (Legal Business Name): MASAZEW NDEDSEH MBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2012
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1818 NEW YORK AVE NE STE 221
WASHINGTON DC
20002-1851
US

IV. Provider business mailing address

1818 NEW YORK AVE NE STE 221
WASHINGTON DC
20002-1851
US

V. Phone/Fax

Practice location:
  • Phone: 202-800-6440
  • Fax:
Mailing address:
  • Phone: 202-800-6440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLG200004419
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: