Active NPI
Olubunmi Akinkuowo
- Clinical Social Worker
- Crofton, MD
National Provider Identifier
1093178907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC50079819
- Practice address
- 2142 Priest Bridge CT Ste 1
Crofton, MD 21114-2545 - Phone
- (410) 721-2835
- Fax
- (410) 721-5523
- NPI assigned
- Mar 30, 2016
- Last updated
- Nov 27, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Clinical Social Worker | 1041C0700X | LC50079819 | DC | Primary |
Addresses
Primary practice location
2142 Priest Bridge CT Ste 1
Crofton, MD 21114-2545
Mailing address
10506 Glen Manor Dr
Bowie, MD 20720-4283
Phone (302) 448-0742
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC50079819 | DC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saphyre Music, LLC | Current | Accepting new patients | |
| Bethany Christian Services of Maryland | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Saphyre Mental Health and Wellness, LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bowie, MD
- NPI 1205546645
-
- Social Worker
- Crofton, MD
- NPI 1518390749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669507200000",
"number": "1093178907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10506 GLEN MANOR DR",
"city": "BOWIE",
"state": "MD",
"postal_code": "207204283",
"telephone_number": "302-448-0742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2142 PRIEST BRIDGE CT STE 1",
"city": "CROFTON",
"state": "MD",
"postal_code": "211142545",
"telephone_number": "410-721-2835",
"fax_number": "410-721-5523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AKINKUOWO",
"first_name": "OLUBUNMI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-30",
"last_updated": "2022-11-27",
"certification_date": "2022-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LC50079819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crofton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.