Richard Bolade Oni, LISW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6585 Issued in MN

Practice address

7710 Brooklyn Blvd Suite 209
Brooklyn Park, MN 55443

Phone

(612) 749-3309

Fax

(651) 222-6713

NPI assigned

Apr 8, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Behavioral Health Consulting and Training Services

  • Mental Health Counselor
  • Saint Paul, MN
  • NPI 1457934481
  NPD Authorized official
• Progressive Individual Resources Inc

  • Addiction (Substance Use Disorder) Counselor
  • Saint Paul, MN
  • NPI 1326620352
  NPD Authorized official
• Progressive Individual Resources Inc

  • Community/Behavioral Health Agency
  • Saint Paul, MN
  • NPI 1801743612
  NPD Authorized official

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

{
    "created_epoch": "1270684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537920000000",
    "number": "1720304256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7710 BROOKLYN BLVD SUITE 209",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "55443",
            "telephone_number": "612-749-3309",
            "fax_number": "651-222-6713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7710 BROOKLYN BLVD SUITE 209",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "55443",
            "telephone_number": "612-749-3309",
            "fax_number": "651-222-6713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONI",
        "first_name": "RICHARD",
        "middle_name": "BOLADE",
        "name_prefix": "Dr.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-08",
        "last_updated": "2018-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "6585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Social Worker in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; 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.