Individual provider Active NPI

Olufolake Ogunyemi, LCSW-C

  • Clinical Social Worker
  • Bowie, MD
National Provider Identifier
1831658327
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC50082626 Issued in DC
Practice address
3327 Superior LN Ste 206
Bowie, MD 20715-1941
Phone
(202) 681-4078
NPI assigned
Mar 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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 21394 MD
Clinical Social Worker 1041C0700X LC50082626 DC Primary

Addresses

Primary practice location

3327 Superior LN Ste 206
Bowie, MD 20715-1941

Mailing address

12138 Central Ave Ste 674
Mitchellville, MD 20721-1910
Phone (202) 681-4078

Other practice location 1

2327 Brooke Grove Rd
Bowie, MD 20721-1860
Phone (202) 681-4078

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
21394MDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1552521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1831658327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12138 CENTRAL AVE STE 674",
            "city": "MITCHELLVILLE",
            "state": "MD",
            "postal_code": "207211910",
            "telephone_number": "202-681-4078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3327 SUPERIOR LN STE 206",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207151941",
            "telephone_number": "202-681-4078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2327 Brooke Grove Rd",
            "address_purpose": "LOCATION",
            "city": "Bowie",
            "state": "MD",
            "postal_code": "207211860",
            "country_code": "US",
            "telephone_number": "202-681-4078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OGUNYEMI",
        "first_name": "OLUFOLAKE",
        "name_prefix": "Mrs.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-14",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "21394",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50082626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.

Verify at the official NPI Registry.