Individual provider Active NPI

Bolanle Ayinde, MSW, LCSW-C

  • Clinical Social Worker
  • Bladensburg, MD
National Provider Identifier
1982819850
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12470 Issued in MD
Practice address
4918 Taylor St
Bladensburg, MD 20710-1233
Phone
(301) 779-0988
NPI assigned
May 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LC50077739 DC
Clinical Social Worker 1041C0700X 12470 MD Primary

Addresses

Primary practice location

4918 Taylor St
Bladensburg, MD 20710-1233

Mailing address

4918 Taylor St
Bladensburg, MD 20710-1233
Phone (301) 779-0988

Other identifiers 1

IdentifierTypeStateIssuer
4068220 00.MedicaidMD

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
I20231003001142 MD Practitioner - Clinical Social Worker 4385098870 Reassigns benefits to 1 organization
I20240905000099 DC Practitioner - Clinical Social Worker 4385098870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4918 Taylor St
Bladensburg, MD 20710-1233
Phone (202) 445-0091

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC50077739DCMDMental Health Counselor
12470MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rak Health Care Services, Inc. CurrentSince Sep 23, 2025 Accepting new patients
Rak Health Care Services, Inc. Past Accepting new patients

Locations

110 Painters Mill Rd
Ste 117A
Owings Mills, MD 21117
Phone (443) 394-9292

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1982819850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4918 TAYLOR ST",
            "city": "BLADENSBURG",
            "state": "MD",
            "postal_code": "207101233",
            "telephone_number": "301-779-0988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4918 TAYLOR ST",
            "city": "BLADENSBURG",
            "state": "MD",
            "postal_code": "207101233",
            "telephone_number": "301-779-0988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYINDE",
        "first_name": "BOLANLE",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-13",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DC",
            "license": "LC50077739",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "12470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4068220 00.",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bladensburg, MD

Sources for this page

Verify at the official NPI Registry.