Provider Demographics
NPI:1033856190
Name:ASSEFA, BERNADET SOLOMON
Entity Type:Individual
Prefix:
First Name:BERNADET
Middle Name:SOLOMON
Last Name:ASSEFA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:706 VENICE DR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-2058
Mailing Address - Country:US
Mailing Address - Phone:202-779-8187
Mailing Address - Fax:
Practice Address - Street 1:4401 8TH ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20017-2200
Practice Address - Country:US
Practice Address - Phone:202-803-8967
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-18
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker