Individual provider Active NPI

Abdelmalik Aboubakar Aboubakar Sr., ONER

  • School Social Worker
  • West Haven, CT
National Provider Identifier
1104787183
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
239552641 Issued in CT
Practice address
32 Knox St Apt B8
West Haven, CT 06516-2111
Phone
(203) 440-6237
Fax
(203) 440-6237
NPI assigned
Nov 19, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 239552641 CT Primary

Addresses

Primary practice location

32 Knox St Apt B8
West Haven, CT 06516-2111

Mailing address

32 Knox St Apt B8
West Haven, CT 06516-2111
Phone (203) 440-6237

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
239552641CTMDSchool Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1763510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1104787183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 KNOX ST APT B8",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065162111",
            "telephone_number": "203-440-6237",
            "fax_number": "203-440-6237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 KNOX ST APT B8",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065162111",
            "telephone_number": "203-440-6237",
            "fax_number": "203-440-6237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABOUBAKAR",
        "first_name": "ABDELMALIK",
        "middle_name": "ABOUBAKAR",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "ONER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-11-19",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "CT",
            "license": "239552641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.