Provider Demographics
NPI:1952666885
Name:ADOKO SANDO, ABENA (MSW, LCSW-C)
Entity Type:Individual
Prefix:MRS
First Name:ABENA
Middle Name:
Last Name:ADOKO SANDO
Suffix:
Gender:F
Credentials:MSW, LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6302 N POINT RD UNIT C
Mailing Address - Street 2:
Mailing Address - City:SPARROWS POINT
Mailing Address - State:MD
Mailing Address - Zip Code:21219-1040
Mailing Address - Country:US
Mailing Address - Phone:443-939-0513
Mailing Address - Fax:
Practice Address - Street 1:6302 N POINT RD
Practice Address - Street 2:UNIT C
Practice Address - City:SPARROWS POINT
Practice Address - State:MD
Practice Address - Zip Code:21219-1040
Practice Address - Country:US
Practice Address - Phone:443-939-0513
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-06
Last Update Date:2020-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD143541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD055165100Medicaid