Sidjae Henry
Case Manager/Care Coordinator in Washington, DC. Individual provider (NPI-1).
NPI number1154023232
StatusActive
Last updated in NPPESMar 21, 2023
Details
- NPI
- 1154023232
- Entity type
- Individual (NPI-1)
- Name
- Sidjae Henry
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 21, 2023
- Certification date
- Mar 21, 2023
- Last updated
- Mar 21, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
2041 Martin Luther King Jr Ave Se Ste 205Washington, DC 20020-7026
Phone 202-547-8450
Mailing address
2041 Martin Luther King Jr Ave Se Ste 205Washington, DC 20020-7026
Phone 202-547-8450
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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