Individual provider Active NPI

Tony Oby, LGSW

  • Social Worker
  • Upper Marlboro, MD
National Provider Identifier
1568985273
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
23073 Issued in MD
Practice address
9475 Lottsfrod Road #250
Upper Marlboro, MD 20774
Phone
(202) 716-8662
NPI assigned
Jul 25, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 23073 MD Primary

Addresses

Primary practice location

9475 Lottsfrod Road #250
Upper Marlboro, MD 20774

Mailing address

14640 Gallant LN
Waldorf, MD 20601-5509
Phone (202) 716-8662

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3261 Old Washington Rd
Suite 3021
Waldorf, MD 20602-3229

4315 Northview Dr
Bowie, MD 20716-2600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23073MDMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1568985273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14640 GALLANT LN",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206015509",
            "telephone_number": "202-716-8662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9475 LOTTSFROD ROAD #250",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "20774",
            "telephone_number": "202-716-8662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBY",
        "first_name": "TONY",
        "name_prefix": "Mr.",
        "credential": "LGSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "23073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

Verify at the official NPI Registry.