Omowumi Olumayowa Olawale, CCM

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

4208759 Issued in NJ

Practice address

3507 N Rolling Rd
Windsor Mill, MD 21244-2203

Phone

(410) 718-6700

NPI assigned

Dec 24, 2017

Last updated

Jun 21, 2022By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• A K T Healthcare Incorporated

  • Substance Abuse Rehabilitation Facility
  • Baltimore, MD
  • NPI 1801442249
  NPD Authorized official
• Oasis Health Ventures

  • Case Manager/Care Coordinator
  • Windsor Mill, MD
  • NPI 1215550520
  NPD (past) Authorized official

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

{
    "created_epoch": "1514073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1285140467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 TYLNEY HALL CT",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211583039",
            "telephone_number": "410-718-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3507 N ROLLING RD",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212442203",
            "telephone_number": "410-718-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLAWALE",
        "first_name": "OMOWUMI",
        "middle_name": "OLUMAYOWA",
        "name_prefix": "Mrs.",
        "credential": "CCM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-24",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NJ",
            "license": "4208759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Constance Ojeah-Williams, RN, BSN
• Olufiropo Abiodun Ojo
• Oladipo Olaleye, CRNP
• Mobolaji Olatidoye
• Olufemi Olawale, NP
• Christie Olejemeh, BSN, MS, RN, PHD
• Demi Janel Oliver, PCPNP-BC
• Chiara Elizabeth Olivi, FNP-C
• Olayemi Oluwafunmilayo Oloyede
• Hanaa Omran

• Case Manager/Care Coordinator in Windsor Mill, MD
• Providers in Windsor Mill, MD by specialty
• Case Manager/Care Coordinator in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.

Verify at the official NPI Registry.