Active NPI
Opeyemi Fadahunsi, LCSW
- Clinical Social Worker
- Brooklyn, NY
National Provider Identifier
1689230666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 099827
- Practice address
- 1159 E 104TH St
Brooklyn, NY 11236-4527 - Phone
- (646) 528-3109
- NPI assigned
- May 15, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 1064961 | NY | |
| Clinical Social Worker | 1041C0700X | 099827 | Primary |
Addresses
Primary practice location
1159 E 104TH St
Brooklyn, NY 11236-4527
Mailing address
1159 E 104TH St
Brooklyn, NY 11236-4527
Phone (347) 447-7813
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1064961 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742428800000",
"number": "1689230666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1159 E 104TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112364527",
"telephone_number": "347-447-7813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1159 E 104TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112364527",
"telephone_number": "646-528-3109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FADAHUNSI",
"first_name": "OPEYEMI",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-15",
"last_updated": "2025-03-20",
"certification_date": "2025-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "1064961",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": "099827",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.