Oluwatobiloba D Omoyele

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6851114527 Issued in MI

Practice address

127 N Lafayette St
South Lyon, MI 48178-1210

Phone

(248) 573-7417

NPI assigned

Feb 9, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Tobi D Omoyele Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Lyon Counseling Center

  • Adult Mental Health Clinic/Center
  • South Lyon, MI
  • NPI 1457983355
  NPD
• Mattioli Mental Health Clinic PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brighton, MI
  • NPI 1407648959
  NPD (past)

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1841944600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27830 LONG ST",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481522333",
            "telephone_number": "313-433-8869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 N LAFAYETTE ST",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481781210",
            "telephone_number": "248-573-7417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMOYELE",
        "first_name": "OLUWATOBILOBA",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-09",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6851114527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TOBI",
            "last_name": "OMOYELE",
            "middle_name": "D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Raymond Nkrumah
• Ronald Nomura, LMT, BCTMB, CPMT
• Novian Care LLC
• Office 5 PLLC
• Susan Okonkowski, RD
• Valerie Ann Paige, LPC
• Pain Specialist of Michigan, PLLC
• Christopher R Papp, M.D.
• Paradise Elderly Care, LLC
• Bina Ajit Patel

• Social Worker in South Lyon, MI
• Providers in South Lyon, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.