Individual provider Active NPI

Adekunle Ojelade

  • Clinical Social Worker
  • Ocala, FL
National Provider Identifier
1306371497
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW23777 Issued in FL
Practice address
5664 SW 60TH Ave BLDG 4
Ocala, FL 34474-5694
Phone
(800) 539-4228
NPI assigned
Apr 26, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Clinical Social Worker 1041C0700X SW23777 FL Primary

Addresses

Primary practice location

5664 SW 60TH Ave BLDG 4
Ocala, FL 34474-5694

Mailing address

150 Magnolia Ave
Daytona Beach, FL 32114-4304

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241111000196 FL Practitioner - Clinical Social Worker 0244764595 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW23777FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sma Healthcare Inc CurrentSince Nov 3, 2024 Accepting new patients
Sma Healthcare Inc CurrentSince Oct 26, 2024 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Nov 13, 2024 Accepting new patients
Sma Healthcare, Inc CurrentSince Oct 26, 2024 Accepting new patients
Sma Healthcare Inc PastSince Nov 3, 2024 Accepting new patients

Locations

301 Justice Ln
Bunnell, FL 32110
Phone (386) 236-1726

150 Magnolia Ave
Daytona Beach, FL 32114
Phone (386) 236-3215

1220 Willis Ave
Daytona Beach, FL 32114
Phone (386) 236-3200

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

5664 SW 60th Ave
Bldg 4
Ocala, FL 34474
Phone (352) 291-5500

5664 SW 60th Ave
Ocala, FL 34474
Phone (352) 291-5555

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1493164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1306371497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 MAGNOLIA AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321144304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5664 SW 60TH AVE BLDG 4",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344745694",
            "telephone_number": "800-539-4228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OJELADE",
        "first_name": "ADEKUNLE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-26",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW23777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.