Funmilola N Taiwo, LCSW, LISW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

103423 Issued in TX

Practice address

401 Century Pkwy Unit 522
Allen, TX 75013-8043

Phone

(440) 941-5783

NPI assigned

Jul 18, 2012

Last updated

Nov 20, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Clinical Social Worker

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Doctor on Demand Professionals P CGroup PAC ID 9436464567, 113 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: funmilola.taiwo.1@30520.direct.athenahealth.com

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.

• Doctor on Demand Professionals P C

  • Family Medicine Physician
  • San Francisco, CA
  • NPI 1174931448

  TX

  Medicare reassignment Care Compare group NPD
• Lotus Therapy & Consulting

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Allen, TX
  • NPI 1770100471
  NPD Authorized official
• Mindful Therapy Group PC

  dba Mindful Therapy Group

  • Clinical Social Worker
  • Mountlake Terrace, WA
  • NPI 1316238678

  TX

  Medicare reassignment

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1699020420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 CENTURY PKWY UNIT 522",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750138043",
            "telephone_number": "440-941-5783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 CENTURY PKWY UNIT 522",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750138043",
            "telephone_number": "440-941-5783"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6470 Pearl Rd",
            "address_purpose": "LOCATION",
            "city": "Parma",
            "state": "OH",
            "postal_code": "441302929",
            "country_code": "US",
            "telephone_number": "216-470-0672",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "304 W Boyd Dr Unit 522",
            "address_purpose": "LOCATION",
            "city": "Allen",
            "state": "TX",
            "postal_code": "750132660",
            "country_code": "US",
            "telephone_number": "216-633-1111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAIWO",
        "first_name": "FUNMILOLA",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "credential": "LCSW, LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1302508-SUPV",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C012140",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "103423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jawad Syed, DDS
• Synchronous Neuromonitoring PLLC
• Neil A. Szeryk, D.C.
• Lauren Tademy, LMFT ASSOCIATE
• Elias Tadesse
• Saleh Isam Taiym, D.D.S.
• Sameera Tallapureddy, MD
• Sreedhar Reddy Tallapureddy, M.D
• Jennifer Lynn Talley, MSCCCSLP
• Nazneen Mohua Talukder, MD

• Clinical Social Worker in Allen, TX
• Providers in Allen, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.