Provider Demographics
NPI:1588389571
Name:ADELAJA, OLUWADOLANIMI ZOE (MSW)
Entity type:Individual
Prefix:
First Name:OLUWADOLANIMI
Middle Name:ZOE
Last Name:ADELAJA
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:OLUWADOLANIMI
Other - Middle Name:ZOE
Other - Last Name:TOPE-BANJOKO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW
Mailing Address - Street 1:2213 CRATER LAKE CT
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75006-1531
Mailing Address - Country:US
Mailing Address - Phone:240-547-7147
Mailing Address - Fax:
Practice Address - Street 1:2213 CRATER LAKE CT
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75006-1531
Practice Address - Country:US
Practice Address - Phone:240-547-7147
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-11
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty