Active NPI
Joshua Nosa Okundaye, PH.D., LCSW-C
- Social Worker
- Upper Marlboro, MD
National Provider Identifier
1013072909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 08340
- Practice address
- 14526 Church St
Upper Marlboro, MD 20772-3040 - Phone
- (301) 574-4200
- NPI assigned
- Dec 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 08340 | MD | Primary |
Addresses
Primary practice location
14526 Church St
Upper Marlboro, MD 20772-3040
Mailing address
14526 Church St
Upper Marlboro, MD 20772-3040
Phone (301) 574-4200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08340 | MD | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. O & Okundaye, LLC | Current | Accepting new patients | |
| Another Spring Counseling and Psychotherapy Services LLC | Current | Accepting new patients |
Locations
9520 Pennsylvania Ave
Ste 201
Uppr Marlboro, MD 20772
Phone (301) 957-7210
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Upper Marlboro, MD
- NPI 1700552916
-
- Clinical Social Worker
- Upper Marlboro, MD
- NPI 1801468053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629072000000",
"number": "1013072909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14526 CHURCH ST",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207723040",
"telephone_number": "301-574-4200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14526 CHURCH ST",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207723040",
"telephone_number": "301-574-4200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKUNDAYE",
"first_name": "JOSHUA",
"middle_name": "NOSA",
"name_prefix": "Dr.",
"credential": "PH.D., LCSW-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-22",
"last_updated": "2021-08-16",
"certification_date": "2021-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "08340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Upper Marlboro, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.