Individual provider Active NPI

Omolola O Ogunjobi, LCSW, MSW

  • Clinical Social Worker
  • Newton, MA
National Provider Identifier
1689332926
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
000227699 Issued in MA
Practice address
1400 Centre St Ste 207
Newton, MA 02459-2415
Phone
(617) 332-2282
NPI assigned
Dec 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X 000227699 MA Primary

Addresses

Primary practice location

1400 Centre St Ste 207
Newton, MA 02459-2415

Mailing address

1400 Centre St Ste 207
Newton, MA 02459-2415

Other practice location 1

125 Turnpike Rd Ste 2
Westborough, MA 01581-2841
Phone (617) 332-2282

Other practice location 2

5 Edgell Rd Ste 39
Framingham, MA 01701-4868
Phone (617) 332-2282

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL TherapyNotes Health Information Exchange (HIE)

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
000227699MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Metrowest Nutrition and Therapy Past 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.

NPI Registry JSON

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

{
    "created_epoch": "1638489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1689332926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 CENTRE ST STE 207",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024592415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 CENTRE ST STE 207",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024592415",
            "telephone_number": "617-332-2282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Turnpike Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Westborough",
            "state": "MA",
            "postal_code": "015812841",
            "country_code": "US",
            "telephone_number": "617-332-2282",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 Edgell Rd Ste 39",
            "address_purpose": "LOCATION",
            "city": "Framingham",
            "state": "MA",
            "postal_code": "017014868",
            "country_code": "US",
            "telephone_number": "617-332-2282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OGUNJOBI",
        "first_name": "OMOLOLA",
        "middle_name": "O",
        "credential": "LCSW, MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-03",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "000227699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "TherapyNotes",
            "affiliation": "N",
            "endpointDescription": "encrypted messaging, scheduling, and client information",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Encrypted notes and scheduling",
            "address_1": "1400 Centre St Ste 207",
            "city": "Newton",
            "state": "MA",
            "country_code": "US",
            "postal_code": "024592415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.