Active NPI
Comfort Foluke Fapohunda, LCSW-C
- Clinical Social Worker
- Windsor Mill, MD
National Provider Identifier
1295558252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 3434 Lynne Haven Dr
Windsor Mill, MD 21244-3656 - Phone
- (443) 341-7174
- NPI assigned
- Nov 6, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
3434 Lynne Haven Dr
Windsor Mill, MD 21244-3656
Mailing address
3434 Lynne Haven Dr
Windsor Mill, MD 21244-3656
Phone (443) 341-7174
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ark of Rehabilitation Inc | Past | Accepting new patients | |
| Ark of Rehabilitation Inc | Clinical | Past | Accepting new patients |
Interoperability endpoints
- arkofrehabilitation.comfortfapohunda@159992.advancedmd-direct.com
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Baltimore, MD
- NPI 1427942218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730851200000",
"number": "1295558252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3434 LYNNE HAVEN DR",
"city": "WINDSOR MILL",
"state": "MD",
"postal_code": "212443656",
"telephone_number": "443-341-7174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3434 LYNNE HAVEN DR",
"city": "WINDSOR MILL",
"state": "MD",
"postal_code": "212443656",
"telephone_number": "443-341-7174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAPOHUNDA",
"first_name": "COMFORT",
"middle_name": "FOLUKE",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-06",
"last_updated": "2024-11-06",
"certification_date": "2024-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Windsor Mill, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.