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

Boma Fabia Ehanire, LCSW-C

Individual provider Clinical Social Worker · NPI 1588432876

Boma Fabia Ehanire, LCSW-C is a Clinical Social Worker in White Plains, Maryland. Qualified in 2023, 3 years ago. Works from 2 locations. Licensed in Maryland.

Years since qualifying
3
Licensed in
MD
In the registry since
2023

Practice location Address checks out

5010 Regency Pl Ste 203
White Plains, MD 20695-3088
Phone: (240) 427-3552
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9475 Lottsford Rd Ste 250, Upper Marlboro, MD 20774-5346 — (301) 636-6504

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 29721 (MD)

Record details

NPI number1588432876
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW-C
Sole proprietorNo
NPI enumeratedDecember 15, 2023
Last updated in NPPESMay 21, 2026
Certification dateMay 21, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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