Provider Demographics
NPI:1710675871
Name:GWAPADINGA, NDANGO NELSON
Entity Type:Individual
Prefix:
First Name:NDANGO
Middle Name:NELSON
Last Name:GWAPADINGA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6938 ANDERSONS WAY
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-6958
Mailing Address - Country:US
Mailing Address - Phone:202-925-9269
Mailing Address - Fax:
Practice Address - Street 1:6938 ANDERSONS WAY # L
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-6958
Practice Address - Country:US
Practice Address - Phone:202-925-9269
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-26
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No104100000XBehavioral Health & Social Service ProvidersSocial Worker