Individual provider Active NPI

Olayiwola Adewole, LCSW-C

  • Clinical Social Worker
  • Salisbury, MD
National Provider Identifier
1629730643
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16304 Issued in MD
Practice address
547 Riverside Dr Ste a
Salisbury, MD 21801-5369
Phone
(443) 355-7517
NPI assigned
Oct 7, 2021
Last updated
Oct 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2021

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 16304 MD Primary

Addresses

Primary practice location

547 Riverside Dr Ste a
Salisbury, MD 21801-5369

Mailing address

4908 Green Creek Ter
Glenn Dale, MD 20769-9128
Phone (240) 605-8547

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
I20251111003182 MD Practitioner - Clinical Social Worker 9335630912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2196 Main St
Suite K
Dunedin, FL 34698-5650

4908 Green Creek Ter
Glenn Dale, MD 20769-9128

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16304MDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Feran Healthcare Services CurrentSince Sep 27, 2025 Accepting new patients

Locations

547 Riverside Dr
Ste A
Salisbury, MD 21801
Phone (410) 572-4738

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, 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": "1633564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1629730643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4908 GREEN CREEK TER",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699128",
            "telephone_number": "240-605-8547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "547 RIVERSIDE DR STE A",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015369",
            "telephone_number": "443-355-7517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEWOLE",
        "first_name": "OLAYIWOLA",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-07",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "16304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.