Active NPI
Oludamilola Shodeinde, LCSW-C
- Clinical Social Worker
- Lanham, MD
National Provider Identifier
1629516596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 16405
- Practice address
- 9701 Philadelphia CT
Lanham, MD 20706-4400 - Phone
- (301) 477-3339
- NPI assigned
- Feb 10, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC50080631 | DC | |
| Clinical Social Worker | 1041C0700X | 16405 | MD | Primary |
Addresses
Primary practice location
9701 Philadelphia CT
Lanham, MD 20706-4400
Mailing address
5514 Axton CT
Lanham, MD 20706-2050
Phone (301) 273-5202
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
| License | State | Type | Specialty |
|---|---|---|---|
| LC50080631 | DC | MD | Clinical Social Worker |
| 16405 | MD | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Al.Oy Mental Health, LLC | Clinical | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Lanham, MD
- NPI 1184365918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575936000000",
"number": "1629516596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5514 AXTON CT",
"city": "LANHAM",
"state": "MD",
"postal_code": "207062050",
"telephone_number": "301-273-5202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9701 PHILADELPHIA CT",
"city": "LANHAM",
"state": "MD",
"postal_code": "207064400",
"telephone_number": "301-477-3339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHODEINDE",
"first_name": "OLUDAMILOLA",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-10",
"last_updated": "2019-12-10",
"certification_date": "2019-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LC50080631",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "16405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lanham, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.