MEDICARE: SUNDAY NWOBODO

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	104100000X	Social Worker	23494	MD

General Provider Information

NPI Number	:	1396612255
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUNDAY NWOBODO

Provider Business Mailing Address
First Line	:	7405 THAMES RIVER DR
Second Line	:
City	:	HANOVER
State	:	MD
Zip	:	21076-1778
Country	:	US
Telephone Number	:	240-593-5289
Fax Number	:

Provider Business Practice Location Address
First Line	:	7100 CHESAPEAKE RD
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20784-2349
Country	:	US
Telephone Number	:	240-582-7084
Fax Number	:

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

Provider Enumeration Date	:	10/23/2025
Last Update Date	:	10/23/2025

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Directions to “ SUNDAY NWOBODO ” Practice Location

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