Ganiyat Halle Badmus, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

22242 Issued in MD

Practice address

11779 Somerset Ave Ste 12
Princess Anne, MD 21853-1271

Phone

(443) 754-2164

Fax

(866) 993-1076

NPI assigned

Jul 22, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Ganiyat Olabisi Makanjuola Former name

Medicare fee-for-service enrollment

Enrolled in MD

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 1

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bluntly Coached, LLC

  • Clinical Social Worker
  • Princess Anne, MD
  • NPI 1831657956
  Medicare reassignment NPD Authorized official
• Bluntly Coached, LLC

  • Clinical Social Worker
  • Princess Anne, MD
  • NPI 1023658606
  NPD Authorized official

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

{
    "created_epoch": "1311292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1073891263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11779 SOMERSET AVE STE 12",
            "city": "PRINCESS ANNE",
            "state": "MD",
            "postal_code": "218531271",
            "telephone_number": "443-754-2164",
            "fax_number": "866-993-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11779 SOMERSET AVE STE 12",
            "city": "PRINCESS ANNE",
            "state": "MD",
            "postal_code": "218531271",
            "telephone_number": "443-754-2164",
            "fax_number": "866-993-1076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADMUS",
        "first_name": "GANIYAT",
        "middle_name": "HALLE",
        "name_prefix": "Mrs.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-22",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "22242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119591300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GANIYAT",
            "last_name": "MAKANJUOLA",
            "middle_name": "OLABISI",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Matthew Anderson, DDS
• Maya Armstrong, PA-C
• Kwame Asumadu, DDS
• Aurora Senior Living of Manokin, LLC
• Axis Health at Manokin Opco LLC
• Wasiu Badmus
• Donna Lynn Baer, RDH
• Karen Marie Baer
• Jada Dawn Bailey, PA-C
• Mary Crystal Bailey, LCSW-C

• 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 Jul 24, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.