Active NPI
Oladayo O Oluwalola, LCSW
- Clinical Social Worker
- Virginia Beach, VA
National Provider Identifier
1770240228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904013366
- Practice address
- 2528 Las Brisas Dr
Virginia Beach, VA 23456-4264 - Phone
- (757) 689-0334
- NPI assigned
- Nov 19, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904013366 | VA | Primary |
Addresses
Primary practice location
2528 Las Brisas Dr
Virginia Beach, VA 23456-4264
Mailing address
2064 Burson Dr
Chesapeake, VA 23323-5304
Phone (317) 529-3370
Other names 1
- Oladayo O Ogunlola
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2064 Burson Dr
Chesapeake, VA 23323-5304
Phone (434) 632-8041
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balm of Gilead Counseling Services | Clinical | Current | Accepting new patients |
| Reboot Functional Health Care Corporation | Multi-Specialty | Current | Accepting new patients |
| Beach Counseling, LLC | Clinical | Current | Accepting new patients |
| Balm of Gilead Counseling Services | Current | Accepting new patients |
Locations
2528 Las Brisas Dr
Virginia Beach, VA 23456
Phone (757) 301-6985
Organizations & group practices 4
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
- Chesapeake, VA
- NPI 1548983224
-
dba Pisteuo counseling
- Mental Health Counselor
- Norfolk, VA
- NPI 1427762541
-
- Psychiatric/Mental Health Clinical Nurse Specialist
- Virginia Beach, VA
- NPI 1689162547
-
- Family Medicine Physician
- Virginia Beach, VA
- NPI 1427709526
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637280000000",
"number": "1770240228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2064 BURSON DR",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233235304",
"telephone_number": "317-529-3370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2528 LAS BRISAS DR",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234564264",
"telephone_number": "757-689-0334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLUWALOLA",
"first_name": "OLADAYO",
"middle_name": "O",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-11-19",
"last_updated": "2021-11-19",
"certification_date": "2021-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904013366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "OLADAYO",
"last_name": "OGUNLOLA",
"middle_name": "O",
"credential": "M.S.W",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; 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.