Provider Demographics
NPI:1124720594
Name:ENOH, ZIPPORAH NYOH
Entity type:Individual
Prefix:
First Name:ZIPPORAH
Middle Name:NYOH
Last Name:ENOH
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 1:2604 BLUHAVEN CT
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20906-3116
Mailing Address - Country:US
Mailing Address - Phone:301-675-1864
Mailing Address - Fax:
Practice Address - Street 1:3329 TEAGARDEN CIR APT 102
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-7533
Practice Address - Country:US
Practice Address - Phone:301-675-1864
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-20
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No172V00000XOther Service ProvidersCommunity Health Worker