Healthcare Provider Details

I. General information

NPI: 1902736671
Provider Name (Legal Business Name): SENA AMI DOE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1620 ELTON RD STE 202
SILVER SPRING MD
20903-1782
US

IV. Provider business mailing address

PO BOX 4525
SILVER SPRING MD
20914-4525
US

V. Phone/Fax

Practice location:
  • Phone: 202-748-0340
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLG200005896
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number34531
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: