MEDICARE: MR. ISIAKA BABATUNDE ALMAROOF L.G.S.W.

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	LG101700	DC
2	104100000X	Social Worker	13885	MD

General Provider Information

NPI Number	:	1861761447
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ISIAKA BABATUNDE ALMAROOF L.G.S.W.

Provider Business Mailing Address
First Line	:	5219 CLAY ST NE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20019-6639
Country	:	US
Telephone Number	:	202-403-4461
Fax Number	:	202-529-6570

Provider Business Practice Location Address
First Line	:	3500 18TH ST NE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20018-2738
Country	:	US
Telephone Number	:	202-529-6510
Fax Number	:	202-529-6570

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

Provider Enumeration Date	:	12/27/2011
Last Update Date	:	12/27/2011

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