Muyiwa Arike Elesho, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904012486 Issued in VA

Practice address

4432 Blue Heron Way
Bladensburg, MD 20710-1899

Phone

(347) 446-8629

NPI assigned

Jan 1, 2021

Last updated

Jan 1, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Muyiwa Arike Rahman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Zoe Care Services

  • Home Health Agency
  • Bladensburg, MD
  • NPI 1326636473
  NPD Authorized official
• Segun Elesho LLC

  dba Ardel Transportation Services

  • Secured Medical Transport (VAN)
  • Arlington, TX
  • NPI 1518796960
  Authorized official Same address or phone
• Charm Behavioral Health Services Inc

  • Clinical Social Worker
  • McKinney, TX
  • NPI 1942949714
  NPD

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

{
    "created_epoch": "1609459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609459200000",
    "number": "1558959924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4432 BLUE HERON WAY",
            "city": "BLADENSBURG",
            "state": "MD",
            "postal_code": "207101899",
            "telephone_number": "347-446-8629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4432 BLUE HERON WAY",
            "city": "BLADENSBURG",
            "state": "MD",
            "postal_code": "207101899",
            "telephone_number": "347-446-8629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELESHO",
        "first_name": "MUYIWA",
        "middle_name": "ARIKE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-01",
        "last_updated": "2021-01-01",
        "certification_date": "2021-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904012486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MUYIWA",
            "last_name": "RAHMAN",
            "middle_name": "ARIKE",
            "credential": "MUYIWA ARIKE RAHMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Caroline Nzelle Ebah
• Manfred Akwenle Ebah
• Stanley Enongene Ebah
• Samuel Egbe Ebai
• Mary Efenure
• Jabut N Elvis
• Ngozi Stella Emerenwa
• Gabriel A Emiola
• Okechukwu N Emmanuel
• Josephine Ayuk Enow

• Clinical Social Worker in Bladensburg, MD
• Providers in Bladensburg, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.