Eyitayo Enitan

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

16552 Issued in MD

Practice address

2400 Liberty Heights Ave
Suite 111
Baltimore, MD 21215-7901

Phone

(410) 383-7760

Fax

(410) 383-7688

NPI assigned

Jan 4, 2011

Last updated

Feb 13, 2024By the provider in NPPES

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

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, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Conduit IncGroup PAC ID 4981073194, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Conduit Inc

  • Community/Behavioral Health Agency
  • Baltimore, MD
  • NPI 1629663760
  Medicare reassignment Care Compare group NPD
• Lovework, LLC

  • Clinical Social Worker
  • Baltimore, MD
  • NPI 1053910968
  NPD Authorized official
• Lovework, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
  • NPI 1154938975
  NPD Authorized official

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

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1164726246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 LIBERTY HEIGHTS AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212157901",
            "telephone_number": "410-383-7760",
            "fax_number": "410-383-7688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 LIBERTY HEIGHTS AVE",
            "address_2": "SUITE 111",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212157901",
            "telephone_number": "410-383-7760",
            "fax_number": "410-383-7688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENITAN",
        "first_name": "EYITAYO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-04",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "16552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Anne Engstrom, CRNP
• Karen A Engstrom, M.D.
• Brooke Engwall, LCPC
• David Engwall
• Temiloluwa Eniola
• Enkindle Village, LLC
• Len E. Ennis, M.D.
• Samantha Enns, LMSW
• Enoch Men LLC
• Michael Mozes Enoch, M.D.

• Clinical Social Worker in Baltimore, MD
• Providers in Baltimore, 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 Feb 13, 2024; 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.