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NPI Code Detail

MEDICARE: CARINE NJENYOH NDIFON CSW

MEDICARE:   CARINE NJENYOH NDIFON  CSW
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
1172V00000XCommunity Health Worker
2251S00000XCommunity/Behavioral Health Agency
3374U00000XHome Health AideHHA200003210DC
4171M00000XCase Manager/Care Coordinator
53747P1801XPersonal Care AttendantDC

General Provider Information

NPI Number : 1194428037
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARINE NJENYOH NDIFON CSW
Provider Business Mailing Address
First Line : 3901 LAKEHOUSE RD APT 24
Second Line :
City : BELTSVILLE
State : MD
Zip : 20705-3329
Country : US
Telephone Number : 346-232-6377
Fax Number :
Provider Business Practice Location Address
First Line : 2124 MARTIN LUTHER KING JR AVENUE
Second Line :
City : SOUTH EAST
State : DC
Zip : 20002
Country : US
Telephone Number : 202-563-7632
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2023
Last Update Date : 03/05/2026

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Directions to “ CARINE NJENYOH NDIFON CSW” Practice Location

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