Hajarat Adewole
Individual provider Active NPI Social Worker · Bronx, NY
NPI 1962263533 · NPPES record last updated Jan 19, 2024
Key facts
- NPI
- 1962263533
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 2488 Grand Concourse RM 417
Bronx, NY 10458-5206 - Phone
- (718) 584-7204
- NPI assigned
- Jan 19, 2024
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
2488 Grand Concourse RM 417
Bronx, NY 10458-5206
Mailing address
2488 Grand Concourse RM 417
Bronx, NY 10458-5206
Phone (718) 584-7204
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.