Provider Demographics
NPI:1518859081
Name:JALLOH, HUSSAINATU (BSE)
Entity type:Individual
Prefix:MS
First Name:HUSSAINATU
Middle Name:
Last Name:JALLOH
Suffix:
Gender:F
Credentials:BSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8800 ENFIELD CT APT 12
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20708-2051
Mailing Address - Country:US
Mailing Address - Phone:614-556-0257
Mailing Address - Fax:
Practice Address - Street 1:2706 BLADENSBURG RD NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20018-1425
Practice Address - Country:US
Practice Address - Phone:202-255-2574
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-17
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty