Sam Oguntade, LCDC is a
Counselor - Addiction (substance Use Disorder) based in Fort Worth, Texas. Sam Oguntade is licensed to practice in Texas (license number 12595) and his current practice location is
3840 Hulen St, Htn, Client Accounting, Fort Worth, Texas. He can be reached at his office (for appointments etc.) via phone at
(817) 569-4300.
NPI number for Sam Oguntade is 1538442744 and his current mailing address is Po Box 2603, Htn, Client Accounting, Fort Worth, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1538442744.
Healthcare Provider's Profile
Full Name | Sam Oguntade |
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Gender | Male |
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Speciality | Counselor - Addiction (substance Use Disorder) |
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Location | 3840 Hulen St, Fort Worth, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1538442744
- Provider Enumeration Date: 09/23/2011
- Last Update Date: 07/31/2015
Medical Identifiers
Medical identifiers for Sam Oguntade such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538442744 | NPI | - | NPPES |
8EBK56 | Other | TX | BCBS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 31014 (Texas) | Secondary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 12595 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sam Oguntade is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Sam Oguntade, LCDC Po Box 2603, Htn, Client Accounting, Fort Worth, TX 76113-2603 Ph: (817) 569-4300 | Sam Oguntade, LCDC 3840 Hulen St, Htn, Client Accounting, Fort Worth, TX 76107-7277 Ph: (817) 569-4300 |
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