Tejumola F Akinruli-Mowowale, LMSW

Individual provider Active NPI Clinical Social Worker · Wayne, MI

NPI 1366880387 · NPPES record last updated Jan 27, 2025

Key facts

NPI
1366880387
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
6801090483 (MI)
Practice address
35425 W Michigan Ave
Wayne, MI 48184-9800
Phone
(248) 252-7626
NPI assigned
Jun 12, 2013
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
6801090483MIMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801090483 MI Yes

Addresses

Primary practice location

35425 W Michigan Ave
Wayne, MI 48184-9800

Mailing address

30925 Marquette St
Garden City, MI 48135-3321
Phone (248) 252-7626

Other practice location 1

10 Peterboro St
Detroit, MI 48201-2722
Phone (313) 833-6260

Other providers in Wayne, MI

All providers in Wayne, MI · Clinical Social Worker in Michigan

Sources for this page

Verify at the official NPI Registry.