Jessica Oladumiye, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW20145 Issued in FL

Practice address

6650 Landings Dr Apt 108
Lauderhill, FL 33319-5044

Phone

(816) 204-7632

NPI assigned

Jun 24, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL, IL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• FL HMO C-SNP
• IL HMO C-SNP
• FL PPO
• devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806
• FL HMO

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.

• The Mending Room Counseling Center for Wellness

  • Clinical Social Worker
  • Tinley Park, IL
  • NPI 1437885720
  Medicare reassignment Authorized official
• A & B Counseling Services LLC

  • Adult Mental Health Clinic/Center
  • Fort Lauderdale, FL
  • NPI 1508327628
  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, IL

  Medicare reassignment NPD
• A & B Counseling LLC

  • In Home Supportive Care Agency
  • Fort Lauderdale, FL
  • NPI 1316400203
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1656028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664064000000",
    "number": "1013649458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 N UNIVERSITY DR # A153",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333516249",
            "telephone_number": "816-204-7632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6650 LANDINGS DR APT 108",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333195044",
            "telephone_number": "816-204-7632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLADUMIYE",
        "first_name": "JESSICA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-24",
        "last_updated": "2022-09-25",
        "certification_date": "2022-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW20145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@yourmendingroom.com",
            "affiliation": "N",
            "endpointDescription": "business email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6650 Landings Dr Apt 108",
            "city": "Lauderhill",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333195044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Jazlyn Ojeda Picado
• Daniela Ojeda
• Clifton David Okman, D.C.
• Lizandrea Olarte
• Mayra Oliva Rivero
• Lauren Olivo
• Omega Group at South PL. Inc.
• Omega Group of South Florida

• Clinical Social Worker in Lauderhill, FL
• Providers in Lauderhill, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.