Healthcare Provider Details

I. General information

NPI: 1942124367
Provider Name (Legal Business Name): TITILOPE O ABIOYE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6323 GEORGIA AVE NW STE 350
WASHINGTON DC
20040-7585
US

IV. Provider business mailing address

3611 LYNDALE AVE
BALTIMORE MD
21213-1927
US

V. Phone/Fax

Practice location:
  • Phone: 202-996-5445
  • Fax: 202-777-3055
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLG200006895
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: