| Muyiwa Arike Elesho, LCSW | |
|
4432 Blue Heron Way, Bladensburg, MD 20710-1899 | |
| (347) 446-8629 | |
| Not Available |
| Full Name | Muyiwa Arike Elesho |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 4432 Blue Heron Way, Bladensburg, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558959924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904012486 (Virginia) | Primary |
| Entity Name | Supportive Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477895043 PECOS PAC ID: 7719126655 Enrollment ID: O20130625000484 |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220525002138 |
| Mailing Address | Practice Location Address |
|---|---|
| Muyiwa Arike Elesho, LCSW 4432 Blue Heron Way, Bladensburg, MD 20710-1899 Ph: (347) 446-8629 | Muyiwa Arike Elesho, LCSW 4432 Blue Heron Way, Bladensburg, MD 20710-1899 Ph: (347) 446-8629 |
Fatmata Ndoye, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4233 58th Ave Apt 5, Bladensburg, MD 20710 Phone: 240-960-4963 | |
Ms. Angelique Alisia Brathwaite, LCSW-C Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5800 Annapolis Rd Apt 801, Bladensburg, MD 20710 Phone: 410-504-2776 |