Ahmed I Obakhume, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

82959 Issued in CA

Practice address

4013 Brockton Ave
Riverside, CA 92501-3440

Phone

(909) 289-4075

NPI assigned

Mar 2, 2020

Sex

Male

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

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1295369072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 452573",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900458535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4013 BROCKTON AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925013440",
            "telephone_number": "909-289-4075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBAKHUME",
        "first_name": "AHMED",
        "middle_name": "I",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-02",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "82959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Oakley, HIGH SCHOOL DIPLOMA
• Kaitlynn Oaks
• Lacey Oana, RPH
• Brandon Walter Oare
• Patricia Ann Oare
• Chrystal Obando
• Cheyenne Obeid
• Mira Obeid
• Yasmine Obeid
• Gladys K Obeng, DNP, BSN, RN, PMHNP-

• Clinical Social Worker in Riverside, CA
• Providers in Riverside, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; 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.