Wellformed AI

NPI 1578082210 · live from the CMS NPI Registry

Joannah K Adeyeye

Clinic/Center, Multi-Specialty in Accokeek, MD. National Provider Identifier 1578082210, active.

NPI record

NPI1578082210 Type 1 · individual
StatusActive
Primary specialtyClinic/Center, Multi-Specialty 261QM1300X
Practice location17921 Merino Dr, Accokeek, MD 20607
Practice phone240-505-4750
EnumeratedSeptember 13, 2017
Last updatedFebruary 4, 2025
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Counselor, Mental Health101YM0800X—
Counselor, Professional101YP2500X—
Social Worker104100000X—
Social Worker, Clinical1041C0700X—
Case Management251B00000X—
Clinic/Center, Multi-Specialty primary261QM1300X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.