Provider Demographics
NPI:1164317897
Name:MOMNOUGUI, JOSEPH CHRISTIAN
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:CHRISTIAN
Last Name:MOMNOUGUI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9019 LAKE LARGO DR
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-4725
Mailing Address - Country:US
Mailing Address - Phone:202-805-7992
Mailing Address - Fax:
Practice Address - Street 1:9019 LAKE LARGO DR
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20774-4725
Practice Address - Country:US
Practice Address - Phone:202-805-7992
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-11
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No172V00000XOther Service ProvidersCommunity Health Worker