Bluntly Coached, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BLUNTLY COACHED, LLC

Practice address

30435 Mount Vernon Rd
Princess Anne, MD 21853-1437

Phone

(443) 754-2164

NPI assigned

Jan 10, 2020

Organization subpart

No

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

Authorized official

Name

Ganiyat Badmus, LCSW-CNPI 1073891263

Title

Clinical Director

Phone

(443) 754-2164

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Bluntly Coached LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bluntly Coached, LLC

  • Clinical Social Worker
  • Princess Anne, MD
  • NPI 1831657956
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ganiyat Halle Badmus, LCSW-C

  • Clinical Social Worker
  • Princess Anne, MD
  • NPI 1073891263
  NPD Authorized official

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578614400000",
    "number": "1023658606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30435 MOUNT VERNON RD",
            "city": "PRINCESS ANNE",
            "state": "MD",
            "postal_code": "218531437",
            "telephone_number": "443-754-2164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30435 MOUNT VERNON RD",
            "city": "PRINCESS ANNE",
            "state": "MD",
            "postal_code": "218531437",
            "telephone_number": "443-754-2164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUNTLY COACHED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-10",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A",
        "authorized_official_last_name": "BADMUS",
        "authorized_official_first_name": "GANIYAT",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "443-754-2164",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "302168800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Better Days Wellness LLC
• Chayanika Bhattacharjya, DDS
• Dawn Marie Biester, LCPC
• Gregory George Bisset, BSW
• Rhoderick Blasco, DDS
• Bluntly Coached, LLC
• Bahar Boroumand Rad, DDS
• Nicole M Boudreaux, PA-C
• Sara Christine Truitt Bounds, LMSW
• Taha Bourgo

• Clinical Social Worker in Princess Anne, MD
• Providers in Princess Anne, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.