MEDICARE: AISSATOU SOW

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	1041C0700X	Clinical Social Worker	LC800004796	DC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316681869
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AISSATOU SOW

Provider Business Mailing Address
First Line	:	4217 22ND ST NE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20018-3144
Country	:	US
Telephone Number	:	202-938-8565
Fax Number	:

Provider Business Practice Location Address
First Line	:	4217 22ND ST NE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20018-3144
Country	:	US
Telephone Number	:	202-938-8565
Fax Number	:

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

Provider Enumeration Date	:	04/21/2022
Last Update Date	:	05/27/2026

Similar Medicare Providers

1275426702 — MS. DAJANA A SIMPSON
Practice Location Address:

1109 21ST PL NE
WASHINGTON, DC
20002-3144

Practice Phone: 202-399-1593
Practice Fax:

1821927633 — CALYANNA LORRAINE ROBERTSON
Practice Location Address:

2300 WASHINGTON PL NE APT 431
WASHINGTON, DC
20018-1061

Practice Phone: 202-677-8704
Practice Fax:

1780462440 — IRENE ASSI FOMUM
Practice Location Address:

1615 RHODE ISLAND AVE NE
WASHINGTON, DC
20018-1802

Practice Phone: 240-714-1460
Practice Fax:

1790615086 — DR. LAUREN R BROUSSARD
Practice Location Address:

2607 REED ST NE APT 521
WASHINGTON, DC
20018-1809

Practice Phone: 202-725-8948
Practice Fax:

1740110451 — JENEE EDGERTON M.PSY.
Practice Location Address:

2427 GIRARD PL NE
WASHINGTON, DC
20018-2526

Practice Phone: 954-529-3796
Practice Fax:

1730017864 — ALECIA WILSON
Practice Location Address:

2607 REED ST NE APT 323
WASHINGTON, DC
20018-1795

Practice Phone: 200-308-4695
Practice Fax:

Directions to “ AISSATOU SOW ” 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.