Active NPI
Dr. O & Okundaye, LLC
- Clinical Social Worker
- Upper Marlboro, MD
National Provider Identifier
1801468053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- DR. O & OKUNDAYE, LLC
- Practice address
- 9520 Marlboro Pike Ste 201
Upper Marlboro, MD 20772-3666 - Phone
- (301) 802-1140
- Fax
- (301) 574-0858
- NPI assigned
- Jul 15, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joshua Okundaye, PH.D, LCSW-C, LICSW
- Title
- Clinical Director
- Phone
- (301) 802-1140
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
9520 Marlboro Pike Ste 201
Upper Marlboro, MD 20772-3666
Mailing address
9520 Marlboro Pike Ste 201
Upper Marlboro, MD 20772-3666
Phone (301) 802-1140
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Social Worker
- Upper Marlboro, MD
- NPI 1013072909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626307200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1626307200000",
"number": "1801468053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9520 MARLBORO PIKE STE 201",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207723666",
"telephone_number": "301-802-1140",
"fax_number": "301-574-0858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9520 MARLBORO PIKE STE 201",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207723666",
"telephone_number": "301-802-1140",
"fax_number": "301-574-0858"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. O & OKUNDAYE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-15",
"last_updated": "2021-07-15",
"certification_date": "2021-07-15",
"status": "A",
"authorized_official_last_name": "OKUNDAYE",
"authorized_official_first_name": "JOSHUA",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "301-802-1140",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D, LCSW-C, LICSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Upper Marlboro, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.