IndividualActive
Edwin Amabo
NPI 1922864289 · Community Health Worker · Glenn Dale, MD
Provider details
- NPI number
- 1922864289
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
- Case Manager/Care Coordinator171M00000X
Other Service Providers
- Behavior Technician106S00000X
Behavioral Health & Social Service Providers
Practice location
10712 Marietta St
Glenn Dale, MD 20769-9405
Phone: (301) 701-0222
Approximate (ZIP-level) locationGet directions
Mailing address
10712 Marietta St
Glenn Dale, MD 20769-9405
Registry dates
- Enumerated
- 2024-02-26
- Last updated
- 2025-06-17
- Certified
- 2025-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.