Individual provider Active NPI

Zelda Olarewaju, LCSW-C

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1407412703
Registry record updated May 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
19544 Issued in MD
Practice address
3607 Langrehr Rd
Baltimore, MD 21244-3031
Phone
(443) 722-5901
NPI assigned
May 13, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2019

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 19544 MD Primary

Addresses

Primary practice location

3607 Langrehr Rd
Baltimore, MD 21244-3031

Mailing address

3607 Langrehr Rd
Baltimore, MD 21244-3031
Phone (443) 722-5901

Other identifiers 1

IdentifierTypeStateIssuer
0MedicaidMD

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

State licenses

LicenseStateTypeSpecialty
19544MDMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557705600000",
    "number": "1407412703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3607 LANGREHR RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212443031",
            "telephone_number": "443-722-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3607 LANGREHR RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212443031",
            "telephone_number": "443-722-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLAREWAJU",
        "first_name": "ZELDA",
        "name_prefix": "Mrs.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-13",
        "last_updated": "2019-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "19544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; 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.