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UNKNOWN CLAVIS FONGWEN
NPI 1083560379
Case Manager/Care Coordinator in Northwest, DC

Active since March 09, 2026
1300 I STREET N.W, NORTHWEST, DC 20005(213) 317-8912 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Unknown Clavis Fongwen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UNKNOWN CLAVIS FONGWEN (NPI 1083560379) is an individual case manager/care coordinator provider in Northwest, District Of Columbia and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1083560379
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameUNKNOWN CLAVIS FONGWEN
Location Address1300 I STREET N.WNorthwest, DC 20005
Mailing Address13817 Briarwood Dr # Apt 1133Laurel, MD 20708
Phone(213) 317-8912
Sole ProprietorNo
Enumeration DateMarch 9, 2026
✔ NPI 1083560379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
1300 I STREET N.W, Northwest, DC 20005
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Unknown Clavis Fongwen's NPI number?

The NPI number for Unknown Clavis Fongwen is 1083560379. It was assigned to this individual provider in the NPPES registry on March 9, 2026.

Where is Unknown Clavis Fongwen located?

Unknown Clavis Fongwen practices at 1300 I Street N.W, Northwest, DC 20005. The listed phone number is (213) 317-8912.

What is Unknown Clavis Fongwen's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Unknown Clavis Fongwen was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.