Nicole Danielle Ajenishe, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9762953 Issued in NY

Practice address

6209 16TH Ave
Brooklyn, NY 11204-2702

Phone

(718) 234-0073

NPI assigned

Nov 27, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511740800000",
    "number": "1265946404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1054 STAFFORD RD",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115801822",
            "telephone_number": "516-263-3996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6209 16TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112042702",
            "telephone_number": "718-234-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJENISHE",
        "first_name": "NICOLE",
        "middle_name": "DANIELLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-27",
        "last_updated": "2017-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "9762953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oluwaseyi O Ajayi
• Oluwatoyin T Ajayi, MBBS
• Ibrahiem Azeem Ajaz
• Ajc Optometry P.C.
• Anifa Ajdar
• Alexandra Ajibade, AGPCNP-BC
• Temitope Ajibawo, MD
• Abiola Ajibola, OT
• Racheal Olufunke Ajiboye, RN
• Sussan Ajiboye, LPN

• Clinical Social Worker in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2017; 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.