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	101YM0800X	Mental Health Counselor

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	:	01/29/2026

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:

1144179441 — RAASHEEDA GERMANY
Practice Location Address:

1625 MONROE ST NE
WASHINGTON, DC
20018-2368

Practice Phone: 202-679-0711
Practice Fax:

1801252085 — KASHAWNA WATSON MSW, LICSW
Practice Location Address:

2628 COLEMAN LN NE
WASHINGTON, DC
20018-4450

Practice Phone: 202-367-1762
Practice Fax:

1154280998 — TADELE ADEBO ABEBE SR.
Practice Location Address:

2615 EVARTS ST NE
WASHINGTON, DC
20018-1430

Practice Phone: 202-374-5300
Practice Fax:

1245199868 — TARA JERNIGAN
Practice Location Address:

1304 SARATOGA AVE NE APT 3
WASHINGTON, DC
20018-1963

Practice Phone: 202-590-1652
Practice Fax:

1700745288 — DASHA SMITH
Practice Location Address:

2257 15TH ST NE
WASHINGTON, DC
20018-1243

Practice Phone: 202-534-7182
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.