Social Worker (Clinical)

Address: 1807 E Preston St, Baltimore, MD 21213-3131

JEREMIAH BABATUNDE ODUKOYA (NPI# 1114504552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114504552
Entity Type Individual
Gender Male
Practice Address 1807 E Preston St
MD 21213-3131
Practice Telephone 4102762123
Practice Fax Number 4102764070
Mailing Address 16308 Dahl Rd
MD 20707-2706
Mailing Telephone 8043857476
Certification Date 2021-03-24
Enumeration Date 2021-03-24
Last Update Date 2021-03-24
Is Sole Proprietor Y


Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 1041C0700X Social Worker
Specialization: Clinical
26378 MD Behavioral Health & Social Service Providers

Office Location

Street Address 1807 E PRESTON ST
State MD
Zip Code 21213-3131

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275111809 Ashley Winkey Social Worker - Clinical 1807 E Preston St, Baltimore, MD 21213-3131 2021-04-02
1568061521 Ags Programs LLC Clinic/Center - Rehabilitation, Substance Use Disorder 1807 E Preston St, Baltimore, MD 21213-3131 2020-10-21
1184239782 Glenda Laprade Social Worker - Clinical 1807 E Preston St, Baltimore, MD 21213-3131 2020-09-10
1578033734 Raschid S. Smith Social Worker 1807 E Preston St, Wolfe Street Entrance, Baltimore, MD 21213-3131 2018-11-30
1457776270 Ags Programs LLC Community/Behavioral Health 1807 E Preston St, Baltimore, MD 21213-3131 2014-03-03

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1225651433 Debobeth Medical Center Clinic/Center - Mental Health (Including Community Mental Health Center) 3107-3109 Erdman Avenue, Baltimore, MD 21213 2020-05-21
1538627807 Beverly V Whittaker-Mcdermott · Beverly V Mcdermott Social Worker 3007 E. Biddle Street, Baltimore, MD 21213 2019-03-06
1700398914 Ags Programs LLC Clinic/Center - Mental Health (Including Community Mental Health Center) 1807 E. Preston Street, Wolfe Street Suite, Baltimore, MD 21213 2017-10-27
1912470204 Royal Minds Inc. · Royal Minds Rehabilitation Services Substance Abuse Rehabilitation Facility 3200 Clarence Ave, Baltimore, MD 21213-1133 2019-01-09
1356956676 The Elysian Fields Optimum Wellness and Mental Health Group, LLC Substance Abuse Rehabilitation Facility 2901 Erdman Ave, Baltimore, MD 21213-1139 2020-09-14
1760035356 The Elysian Fields Optimum Wellness and Mental Health Group, LLC Substance Abuse Rehabilitation Facility 2903 Erdman Ave, Baltimore, MD 21213-1139 2019-07-22
1245728575 Valerie Small Behavior Technician 2881 Pelham Ave, Baltimore, MD 21213-1219 2018-04-23
1528682366 Step One, LLC Community/Behavioral Health 3007 Belair Rd, Baltimore, MD 21213-1225 2020-06-07
1245857846 Alem N/A Tesfamariam Sr. Psychologist - Family 3233 Belair Rd, Baltimore, MD 21213-1227 2020-06-30
1144712217 Redeem Healthcare & Medical Systems, Inc Substance Abuse Rehabilitation Facility 3240 Belair Rd Fl 1, Baltimore, MD 21213-1228 2018-06-04
Find all providers in zip 21213

Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437730959 Ella Louise Tressler Social Worker - Clinical 3335 Elm Ave, Baltimore, MD 21211-2726 2021-04-16
1831779743 L & C Therapy, LLC Social Worker - Clinical 317 Ilchester Ave, Baltimore, MD 21218-4432 2021-04-13
1558941237 Radzyner Counseling Services LLC Social Worker - Clinical 6021 Berkeley Ave, Baltimore, MD 21209-4013 2021-04-08
1215512918 Sharon Peer Social Worker - Clinical 100 N Chester St, Baltimore, MD 21231-1627 2021-03-14
1881289874 Lauren Summers Social Worker - Clinical 1326 W 40th St, Baltimore, MD 21211-1727 2021-03-02
1518551415 Severin Green Behavioral Health, LLC Social Worker - Clinical 6701 Queens Ferry Rd, Baltimore, MD 21239-1429 2021-02-22
1730772401 Kimberly B Allen Social Worker - Clinical 17 Wallace Ave, Baltimore, MD 21225-3622 2021-02-14
1215529839 Dreams Beyond, LLC Social Worker - Clinical 1246 Winston Ave, Baltimore, MD 21239-3411 2021-02-04
1265023303 Kelsey Robinson Social Worker - Clinical 620 W 36th St, Baltimore, MD 21211-2514 2021-02-01
1578154266 Tiffany Ann Patton Social Worker - Clinical 2900 Pinewood Ave, Baltimore, MD 21214-1229 2021-01-27
Find all providers in BALTIMORE


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Zip Code 21213

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.