MEDICARE: SENA AMI DOE

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	34531	MD
2	104100000X	Social Worker	LG200005896	DC

General Provider Information

NPI Number	:	1902736671
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SENA AMI DOE

Provider Business Mailing Address
First Line	:	PO BOX 4525
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20914-4525
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1620 ELTON RD STE 202
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20903-1782
Country	:	US
Telephone Number	:	202-748-0340
Fax Number	:

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

Provider Enumeration Date	:	05/22/2026
Last Update Date	:	05/29/2026

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Directions to “ SENA AMI DOE ” Practice Location

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