Adewale Adegbenle, LCSW., MSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

073461 Issued in NY

Practice address

2620 Central Ave
Baldwin, NY 11510-3648

Phone

(917) 209-6613

Fax

(516) 377-0057

NPI assigned

Jan 21, 2014

Last updated

Jan 16, 2015By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Catholic Charities Neighborhood Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brooklyn, NY
  • NPI 1548373921
  Medicare reassignment NPD
• Medical Care at Home PC

  dba ESPRIT Medical Care

  • Internal Medicine Physician
  • New York, NY
  • NPI 1811138415
  Medicare reassignment
• Catholic Charities Neigborhood Services

  • Clinical Social Worker
  • Glendale, NY
  • NPI 1881910131
  NPD (past)
• Graceful Aging LLC

  • Adult Day Care Clinic/Center
  • Baldwin, NY
  • NPI 1033557095
  NPD (past)

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

{
    "created_epoch": "1390262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421366400000",
    "number": "1801219290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 CENTRAL AVE",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115103648",
            "telephone_number": "917-209-6613",
            "fax_number": "516-377-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 CENTRAL AVE",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115103648",
            "telephone_number": "917-209-6613",
            "fax_number": "516-377-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEGBENLE",
        "first_name": "ADEWALE",
        "credential": "LCSW., MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-21",
        "last_updated": "2015-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "073461",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "082417",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A and B Prosthetics and Orthotics Inc
• Monica Aber, LMSW
• Myisha Jovanne Adams, LPN
• Olubunmi Olabisi Adebayo, RN
• Beverly S Adler, PH.D.
• Gladys Adusei
• Aegis RX Pharmacy Inc
• Aegis RX Pharmacy Inc
• Affordable Dental NTWK. of Long Island P.C.

• Social Worker in Baldwin, NY
• Providers in Baldwin, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.