Kemi Ngozi Bunmi Adelakun, LCSW-C, CCM

Individual provider Active NPI Clinical Social Worker · Washington, DC

NPI 1306605357 · NPPES record last updated Mar 13, 2024

Key facts

NPI
1306605357
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
SW19590 (FL)
Practice address
50 Irving St NW
Washington, DC 20422-0001
Phone
(202) 745-8000
NPI assigned
Mar 13, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 30537 MD
Clinical Social Worker 1041C0700X SW19590 FL Yes

Addresses

Primary practice location

50 Irving St NW
Washington, DC 20422-0001

Mailing address

13703 Colgate Way Apt 1122
Silver Spring, MD 20904-7421

Other providers in Washington, DC

All providers in Washington, DC · Clinical Social Worker in District of Columbia

Sources for this page

Verify at the official NPI Registry.