Samuel Bomo Koroma, is a
Psychologist - Group Psychotherapy based in Washington, District Of Columbia. Samuel Bomo Koroma is licensed to practice in NU (license number ) and his current practice location is
920 Bellevue St Se, Washington, District Of Columbia. He can be reached at his office (for appointments etc.) via phone at
(202) 562-4939.
NPI number for Samuel Bomo Koroma is 1619612934 and his current mailing address is 1140 3rd St Ne, Washington, District Of Columbia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619612934.
Healthcare Provider's Profile
| Full Name | Samuel Bomo Koroma |
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| Gender | Male |
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| Speciality | Psychologist - Group Psychotherapy |
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| Location | 920 Bellevue St Se, Washington, District Of Columbia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619612934
- Provider Enumeration Date: 05/02/2022
- Last Update Date: 12/21/2023
Medical Identifiers
Medical identifiers for Samuel Bomo Koroma such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1619612934 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101Y00000X | Counselor | LC50078067 (District Of Columbia) | Secondary |
| 103TP2701X | Psychologist - Group Psychotherapy | (NU) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Samuel Bomo Koroma is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Samuel Bomo Koroma, 1140 3rd St Ne, Washington, DC 20002-6274 Ph: Not Available | Samuel Bomo Koroma, 920 Bellevue St Se, Washington, DC 20032-6030 Ph: (202) 562-4939 |
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