| David Nkong Fomanka, LGSW, LICSW | |
| 2759 Martin Luther King Jr Ave Se Ste 301, Washington, DC 20032-2651 | |
| (202) 827-9961 | |
| (202) 827-9963 | 
| Full Name | David Nkong Fomanka | 
|---|---|
| Gender | Male | 
| Speciality | Social Worker - Clinical | 
| Location | 2759 Martin Luther King Jr Ave Se Ste 301, Washington, District Of Columbia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1376249110 | NPI | - | NPPES | 
| 072105216 | Medicaid | DC | |
| 013255479 | Medicaid | DC | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LC200002967 (District Of Columbia) | Primary | 
| Entity Name | Mbi Health Services Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1396048070 PECOS PAC ID: 5294990453 Enrollment ID: O20160224001506 | 
| Mailing Address | Practice Location Address | 
|---|---|
| David Nkong Fomanka, LGSW, LICSW 7711 Riverdale Rd Apt 102, New Carrollton, MD 20784-3940 Ph: (443) 985-7985 | David Nkong Fomanka, LGSW, LICSW 2759 Martin Luther King Jr Ave Se Ste 301, Washington, DC 20032-2651 Ph: (202) 827-9961 | 
| Ms. Alnita I Miller, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3230 Pennsylvania Ave Se, Suite # 213, Washington, DC 20020 Phone: 202-583-1181 Fax: 202-583-1186 | |
| Ms. Maura A Healy, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1935 11th St Nw, #2, Washington, DC 20001 Phone: 202-483-1001 | |
| Mrs. Pamela Campbell, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7826 Eastern Ave Nw, Suite Ll-18, Washington, DC 20012 Phone: 202-291-0912 | |
| Mr. Brandon Joseph Stratford, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1443 Euclid St Nw, Washington, DC 20009 Phone: 202-255-0021 | |
| Ms. Ann S. Brown, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2510 Virginia Ave Nw, Washington, DC 20037 Phone: 202-965-5755 | |
| James Fletcher Robinson Iv, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3130 Wisconsin Ave Nw, # 716, Washington, DC 20016 Phone: 202-232-5171 | |
| Janelle Ayana Phillip, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 50 Irving St Nw, Washington, DC 20422 Phone: 202-745-8000 |