Active NPI
Adebowale Oladejo Fashola, MSW
- Clinical Social Worker
- Van Nuys, CA
National Provider Identifier
1972020170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 130822
- Practice address
- 16650 Sherman Way
Van Nuys, CA 91406-3782 - Phone
- (818) 901-4836
- Fax
- (818) 377-0044
- NPI assigned
- Aug 28, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 130822 | CA | Primary |
Addresses
Primary practice location
16650 Sherman Way
Van Nuys, CA 91406-3782
Mailing address
16650 Sherman Way
Van Nuys, CA 91406-3782
Phone (818) 901-4836
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 |
|---|---|---|---|
| 130822 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750204800000",
"number": "1972020170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16650 SHERMAN WAY",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914063782",
"telephone_number": "818-901-4836",
"fax_number": "818-376-0044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16650 SHERMAN WAY",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914063782",
"telephone_number": "818-901-4836",
"fax_number": "818-377-0044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FASHOLA",
"first_name": "ADEBOWALE",
"middle_name": "OLADEJO",
"name_prefix": "Mr.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-28",
"last_updated": "2025-06-18",
"certification_date": "2025-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "130822",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.