MEDICARE: BENEDICT C IJOMAH LCSW-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	09832	MD

General Provider Information

NPI Number	:	1083911762
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BENEDICT C IJOMAH LCSW-C

Provider Business Mailing Address
First Line	:	4607 69TH AVE
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20784-2123
Country	:	US
Telephone Number	:	301-386-0014
Fax Number	:	301-386-0018

Provider Business Practice Location Address
First Line	:	4607 69TH AVE
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20784-2123
Country	:	US
Telephone Number	:	301-386-0014
Fax Number	:	301-386-0018

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/16/2011
Last Update Date	:	02/16/2011

Similar Medicare Providers

1063575520 — DR. ALLAN CARL JOHNSON DMD
Practice Location Address:

4605 69TH AVENUE
HYATTSVILLE, MD
20784-2123

Practice Phone: 301-772-2224
Practice Fax: 301-772-2289

1326343096 — NEW VISION BEHAVIORAL HEALTHCARE,INC.
Practice Location Address:

4607 69TH AVE
HYATTSVILLE, MD
20784-2123

Practice Phone: 301-925-9120
Practice Fax: 301-925-4328

1174955231 — MS. AMINAH J LONG LCSW-C
Practice Location Address:

4607 69TH AVE
HYATTSVILLE, MD
20784-2123

Practice Phone: 301-925-9120
Practice Fax: 301-386-0018

1023514213 — IJOMAH AND ASSOCIATES INC
Practice Location Address:

4607 69TH AVE
HYATTSVILLE, MD
20784-2123

Practice Phone: 301-821-1671
Practice Fax:

1568959112 — IJOMAH AND ASSOCIATES INC
Practice Location Address:

4607 69TH AVE
HYATTSVILLE, MD
20784-2123

Practice Phone: 301-821-1671
Practice Fax:

1407709207 — PATRICK UWIMANA
Practice Location Address:

2006 PELDEN RD
HYATTSVILLE, MD
20783-2123

Practice Phone: 240-462-8033
Practice Fax:

Directions to “ BENEDICT C IJOMAH LCSW-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.