Daniel Gbolahan Odegbami, M.S.W.

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

Practice address

555 Mowry Ave Ste a
Fremont, CA 94536-4101

Phone

(510) 657-7409

NPI assigned

Aug 26, 2010

Last updated

Aug 24, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1282780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314144000000",
    "number": "1912213018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2416 8TH AVE APT 204",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946062119",
            "telephone_number": "510-688-8467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 MOWRY AVE STE A",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945364101",
            "telephone_number": "510-657-7409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODEGBAMI",
        "first_name": "DANIEL",
        "middle_name": "GBOLAHAN",
        "credential": "M.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-26",
        "last_updated": "2011-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• School Social Worker in Fremont, CA
• Providers in Fremont, CA by specialty
• School Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; 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.