Kolawole Abimbola Adeagbo

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

4660 Martin Luther King Jr Ave SW Ste A2
Washington, DC 20032-4933

Phone

(202) 318-0179

NPI assigned

Dec 22, 2025

Last updated

Dec 22, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wellness Healthcare Clinics. LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Washington, DC
  • NPI 1417432733
  NPD

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

{
    "created_epoch": "1766361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1346105384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9889 GOOD LUCK RD APT 2",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063238",
            "telephone_number": "313-290-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 MARTIN LUTHER KING JR AVE SW STE A2",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200324933",
            "telephone_number": "202-318-0179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEAGBO",
        "first_name": "KOLAWOLE",
        "middle_name": "ABIMBOLA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-12-22",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ebenye Lum Ade
• Geraldine Ade
• Julius Ade
• Roseline Ade
• Winifred Ade
• Adetola Adebayo Dada
• Adeola Adebayo, DDS
• Bosede Grace Adebayo
• Fatai Adebayo, HHA
• Folasade Aminat Adebayo

• Case Manager/Care Coordinator in Washington, DC
• Providers in Washington, DC by specialty
• Case Manager/Care Coordinator in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.