Individual provider Active NPI

Fisayo Awojoodu, LCSW-C

  • Clinical Social Worker
  • Owings Mills, MD
National Provider Identifier
1851980890
Registry record updated Aug 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
24419 Issued in MD
Practice address
110 Painters Mill Rd Ste 202
Owings Mills, MD 21117-5543
Phone
(703) 420-9554
NPI assigned
Jan 14, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 24419 MD Primary

Addresses

Primary practice location

110 Painters Mill Rd Ste 202
Owings Mills, MD 21117-5543

Mailing address

110 Painters Mill Rd Ste 202
Owings Mills, MD 21117-5543
Phone (703) 420-9554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221017000825 MD Practitioner - Clinical Social Worker 9133595127 Reassigns benefits to 1 organization
I20230906003891 DC Practitioner - Clinical Social Worker 9133595127 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vantage Point Behavioral Health CurrentSince Sep 4, 2022 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Aug 1, 2023 Accepting new patients
Vantage Point Behavioral Health CurrentSince Aug 3, 2025 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

110 Painters Mill Rd
Ste 202
Owings Mills, MD 21117
Phone (703) 420-9554

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754092800000",
    "number": "1851980890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 PAINTERS MILL RD STE 202",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175543",
            "telephone_number": "703-420-9554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PAINTERS MILL RD STE 202",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175543",
            "telephone_number": "703-420-9554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWOJOODU",
        "first_name": "FISAYO",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-14",
        "last_updated": "2025-08-02",
        "certification_date": "2025-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "24419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

Verify at the official NPI Registry.