Shola Adebusuyi
Shola Adebusuyi is a Clinical Social Worker in Washington, District of Columbia. Qualified in 2015, 11 years ago. Practices with Sondermind Provider Network LLC, a 1,258-clinician group and accepts Medicare assignment. Licensed in Maryland.
- Years since qualifying
- 11
- Licensed in
- MD
- In the registry since
- 2014
- Specialties on file
- 2
Practice location Address checks out
111 Michigan Ave NWWashington, DC 20010-2916
Phone: (202) 476-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 21259 (MD) |
|---|---|
| Social Worker | Taxonomy 104100000X |
Record details
| NPI number | 1033527999 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 23, 2014 |
| Last updated in NPPES | February 29, 2024 |
| Certification date | February 29, 2024 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2015 (11 years in practice) |
| Group practice | Sondermind Provider Network Llc — 1258 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
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