| Omolara Kasumu, | |
|
14400 Mayfair Dr, Laurel, MD 20707-5206 | |
| (240) 838-2454 | |
| Not Available |
| Full Name | Omolara Kasumu |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 14400 Mayfair Dr, Laurel, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699298489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 16878 (Maryland) | Primary |
| Entity Name | Family Behavioral Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295747285 PECOS PAC ID: 4284810789 Enrollment ID: O20110518000298 |
| Mailing Address | Practice Location Address |
|---|---|
| Omolara Kasumu, 14400 Mayfair Dr, Laurel, MD 20707-5206 Ph: (240) 838-2454 | Omolara Kasumu, 14400 Mayfair Dr, Laurel, MD 20707-5206 Ph: (240) 838-2454 |
Olubunmi Ayodele, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3465 Fort Meade Rd # 109, Laurel, MD 20724 Phone: 410-989-3467 | |
Antonio Hedgepeth, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14440 Cherry Lane Ct Ste 208, Laurel, MD 20707 Phone: 301-604-1458 Fax: 301-604-1459 | |
Dedrie Boykin, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9208 Redbridge Ct, Laurel, MD 20723 Phone: 240-350-9281 | |
Vanesta Louise Poitier, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9285 Livery Ln, Apt C, Laurel, MD 20723 Phone: 240-280-4890 | |
Jessie Lawson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14440 Cherry Lane Ct Ste 208, Laurel, MD 20707 Phone: 301-604-1458 | |
Amanda Day, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9220 Traders Xing Apt B, Laurel, MD 20723 Phone: 240-281-0255 | |
Jenny Taft, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14440 Cherry Lane Ct Ste 208, Laurel, MD 20707 Phone: 301-604-1458 |