Provider Demographics
NPI:1104677012
Name:CHAWO, HENRY AUDREY NOUMEN
Entity type:Individual
Prefix:
First Name:HENRY
Middle Name:AUDREY NOUMEN
Last Name:CHAWO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:HENRY
Other - Middle Name:AUDREY
Other - Last Name:NOUMEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1206 GLACIER AVE
Mailing Address - Street 2:
Mailing Address - City:CAPITOL HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:20743-5136
Mailing Address - Country:US
Mailing Address - Phone:240-254-4528
Mailing Address - Fax:
Practice Address - Street 1:2600 BRYAN PL SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-4417
Practice Address - Country:US
Practice Address - Phone:202-894-6811
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-28
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No172V00000XOther Service ProvidersCommunity Health Worker