Provider Demographics
NPI:1225743545
Name:ADEOYE, SIMI (LMSW)
Entity Type:Individual
Prefix:
First Name:SIMI
Middle Name:
Last Name:ADEOYE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:SIMILOLUWA
Other - Middle Name:
Other - Last Name:ADEOYE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5209 YORK RD STE B12
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21212-4245
Mailing Address - Country:US
Mailing Address - Phone:410-532-2476
Mailing Address - Fax:
Practice Address - Street 1:5209 YORK RD STE B12
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21212-4245
Practice Address - Country:US
Practice Address - Phone:410-532-2476
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-20
Last Update Date:2023-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD29402104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker