Active NPI
Wasiu Badmus
- Clinical Social Worker
- Princess Anne, MD
National Provider Identifier
1194492835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 30435 Mount Vernon Rd
Princess Anne, MD 21853-1437 - Phone
- (443) 754-2164
- NPI assigned
- Aug 29, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
30435 Mount Vernon Rd
Princess Anne, MD 21853-1437
Mailing address
30491 Valentine Dr
Princess Anne, MD 21853-1401
Phone (410) 419-0162
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630195200000",
"number": "1194492835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30491 VALENTINE DR",
"city": "PRINCESS ANNE",
"state": "MD",
"postal_code": "218531401",
"telephone_number": "410-419-0162"
},
{
"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": {
"last_name": "BADMUS",
"first_name": "WASIU",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-29",
"last_updated": "2021-08-29",
"certification_date": "2021-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Princess Anne, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.