Provider Demographics
NPI:1265024152
Name:BARAKA-SHEPSU, OLUFEMI (MSW)
Entity Type:Individual
Prefix:
First Name:OLUFEMI
Middle Name:
Last Name:BARAKA-SHEPSU
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 MOSBY ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23223-5005
Mailing Address - Country:US
Mailing Address - Phone:804-780-8011
Mailing Address - Fax:
Practice Address - Street 1:1000 MOSBY ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23223-5005
Practice Address - Country:US
Practice Address - Phone:804-780-8011
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-11
Last Update Date:2021-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool