Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mimo Backfin Blues

Organization Clinical Social Worker · NPI 1578431813

Mimo Backfin Blues is a Clinical Social Worker in Edgewood, Maryland. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

500 Edgewood Rd Ste 202
Edgewood, MD 21040-2734
Phone: (443) 967-4656
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1578431813
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Aymen Abedelhay — Ceo · (443) 509-1527
Other names Mimo Backfin Blues
NPI enumeratedOctober 28, 2025
Last updated in NPPESOctober 28, 2025
Certification dateOctober 28, 2025
Mailing address500 Edgewood Rd Ste 202, Edgewood, MD 21040-2734

Other providers in Edgewood