Mrs Wanda S Omodunni, LCSW-A is a
Social Worker - Clinical based in Pembroke, North Carolina. Mrs Wanda S Omodunni is licensed to practice in North Carolina (license number ) and her current practice location is
202 N Main St, Pembroke, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(910) 491-9848.
NPI number for Mrs Wanda S Omodunni is 1750724324 and her current mailing address is Po Box 2053, Garner, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1750724324.
Healthcare Provider's Profile
| Full Name | Mrs Wanda S Omodunni |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
|---|
| Location | 202 N Main St, Pembroke, North Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1750724324
- Provider Enumeration Date: 04/12/2013
- Last Update Date: 06/23/2021
Medical Identifiers
Medical identifiers for Mrs Wanda S Omodunni such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750724324 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | P006527 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | (North Carolina) | 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. Mrs Wanda S Omodunni 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 |
|---|
Mrs Wanda S Omodunni, LCSW-A
Po Box 2053,
Garner, NC 27529-2053
Ph: (910) 498-9848 | Mrs Wanda S Omodunni, LCSW-A
202 N Main St,
Pembroke, NC 28372-5040
Ph: (910) 491-9848 |
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