Individual provider Active NPI

Richard E Omorogbe, SOCIAL WORKER, LCSWC

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1386161677
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
940 Madison Ave Ste 102
Baltimore, MD 21201-2113
Phone
(443) 722-4838
NPI assigned
Aug 28, 2017
Last updated
Apr 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

940 Madison Ave Ste 102
Baltimore, MD 21201-2113

Mailing address

940 Madison Ave Ste 102
Baltimore, MD 21201-2113
Phone (443) 722-4838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • 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
I20241014001214 MD Practitioner - Clinical Social Worker 4183156300 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Maryland School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

940 Madison Ave
Suite 102
Baltimore, MD 21201-2113
Phone (443) 722-4838

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28572MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Amena Health & Rehabilitation Services Clinical CurrentSince Sep 5, 2024 Accepting new patients
Atrium Behavioral Health Services CurrentSince May 17, 2025 Accepting new patients
Anthopadua Health Services Clinical CurrentSince Sep 5, 2024 Accepting new patients
Amena Health & Rehabilitation Services Current Accepting new patients

Locations

1049 Hillen St
Fl 2
Baltimore, MD 21202
Phone (410) 722-4838

940 Madison Ave
Ste 102
Baltimore, MD 21201
Phone (410) 905-3767

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1386161677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 MADISON AVE STE 102",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212012113",
            "telephone_number": "443-722-4838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 MADISON AVE STE 102",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212012113",
            "telephone_number": "443-722-4838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMOROGBE",
        "first_name": "RICHARD",
        "middle_name": "E",
        "credential": "SOCIAL WORKER, LCSWC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-28",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.