Kofoworola Olanike Badejo
Individual provider Active NPI Clinical Social Worker · Marion, IL
NPI 1265317424 · NPPES record last updated Aug 7, 2025
Key facts
- NPI
- 1265317424
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 4505 W Deyoung St Ste 203C
Marion, IL 62959-5899 - Phone
- (616) 283-2222
- NPI assigned
- Aug 7, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeutic, Education, and Career Services, Inc. | Current |
Accepting new patients |
Locations
4505 W Deyoung St
Ste 203C
Marion, IL 62959
Phone (618) 283-2222
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Yes |
Addresses
Primary practice location
4505 W Deyoung St Ste 203C
Marion, IL 62959-5899
Mailing address
4505 W Deyoung St Ste 203C
Marion, IL 62959-5899
Phone (616) 283-2222
Other providers in Marion, IL
- Robert Dale Arnold Jr.
- John Alan Attebury
- Brenda Rose Austin
- Ashley Aylesworth
- Back N Motion Rehab Services LLC
- Gary E Baer
- Kelly P. Bagalawis
- Brett David Baird
- Christina Baird
- Mitchell Baker
All providers in Marion, IL · Clinical Social Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.