Kareem Ayodeji

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

199 Oakwood Ave
West Hartford, CT 06119-2150

Phone

(206) 819-8258

NPI assigned

Apr 24, 2018

Last updated

Apr 24, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Locations

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.

• Revelation Counseling, LLC

  • Clinical Social Worker
  • West Hartford, CT
  • NPI 1851896609
  NPD Authorized official

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524528000000",
    "number": "1750879920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 GOODSELL ST",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061101128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 OAKWOOD AVE",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061192150",
            "telephone_number": "206-819-8258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYODEJI",
        "first_name": "KAREEM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-24",
        "last_updated": "2018-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Richardson Atwood, PT
• Melissa Aubin, PHARMD
• Duane F Austin, M.D.
• Authentic Therapy Co
• Axis Behavioral Health LLC
• Deena Babigian, APRN
• Olivia Alice Bacha, LMSW
• Christopher Ryan Bachand
• Karen E Bachman, MSW
• Valencia L Bagby-Young, EDD PSYCHOLOGY

• Clinical Social Worker in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; 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.