Individual provider Active NPI

Bukola Olaleye, LCSW,LCASA

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1942730643
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C012360 Issued in NC
Practice address
4801 Glenwood Ave Ste 200
Raleigh, NC 27612-3857
Phone
(919) 675-1764
Fax
(919) 591-0253
NPI assigned
Jun 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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 C012360 NC Primary

Addresses

Primary practice location

4801 Glenwood Ave Ste 200
Raleigh, NC 27612-3857

Mailing address

4801 Glenwood Ave Ste 200
Raleigh, NC 27612-3857
Phone (919) 675-1764

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Beauty of Dreams PLLC Clinical Current Accepting new patients

Locations

312 W Millbrook Rd
Ste 121
Raleigh, NC 27609
Phone (910) 672-6766

4801 Glenwood Ave
Ste 200
Raleigh, NC 27612
Phone (757) 866-2715

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1942730643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 GLENWOOD AVE STE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276123857",
            "telephone_number": "919-675-1764",
            "fax_number": "919-591-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 GLENWOOD AVE STE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276123857",
            "telephone_number": "919-675-1764",
            "fax_number": "919-591-0253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLALEYE",
        "first_name": "BUKOLA",
        "credential": "LCSW,LCASA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-14",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C012360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.