Provider Demographics
NPI:1497095004
Name:ALADE, MOTUNDE GBEMINIYI (CSW)
Entity type:Individual
Prefix:MRS
First Name:MOTUNDE
Middle Name:GBEMINIYI
Last Name:ALADE
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:MRS
Other - First Name:MOTUNDE
Other - Middle Name:G
Other - Last Name:OGOH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:HHA
Mailing Address - Street 1:17 SUGARBERRY DR
Mailing Address - Street 2:
Mailing Address - City:ELKTON
Mailing Address - State:MD
Mailing Address - Zip Code:21921-4845
Mailing Address - Country:US
Mailing Address - Phone:301-257-1620
Mailing Address - Fax:
Practice Address - Street 1:17 SUGARBERRY DR
Practice Address - Street 2:
Practice Address - City:ELKTON
Practice Address - State:MD
Practice Address - Zip Code:21921-4845
Practice Address - Country:US
Practice Address - Phone:301-257-1620
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-19
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC171M00000X
374U00000X, 106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC171M00000XMedicaid