Individual provider Active NPI

Simisola Olugboji, MSW, LCSW

  • Clinical Social Worker
  • West Long Branch, NJ
National Provider Identifier
1578434239
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06553300 Issued in NJ
Practice address
1049 Broadway Ste 2
West Long Branch, NJ 07764-1335
Phone
(732) 852-7373
Fax
(732) 454-5235
NPI assigned
Sep 16, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC06553300 NJ Primary

Addresses

Primary practice location

1049 Broadway Ste 2
West Long Branch, NJ 07764-1335

Mailing address

1049 Broadway Ste 2
West Long Branch, NJ 07764-1335
Phone (732) 852-7373

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44SC06553300NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1757980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1578434239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1049 BROADWAY STE 2",
            "city": "WEST LONG BRANCH",
            "state": "NJ",
            "postal_code": "077641335",
            "telephone_number": "732-852-7373",
            "fax_number": "732-454-5235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 BROADWAY STE 2",
            "city": "WEST LONG BRANCH",
            "state": "NJ",
            "postal_code": "077641335",
            "telephone_number": "732-852-7373",
            "fax_number": "732-454-5235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLUGBOJI",
        "first_name": "SIMISOLA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-16",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06553300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Long Branch, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.