Provider Demographics
NPI:1588031538
Name:OYENIYI, ABIODUN OYEDIRAN (LCSW)
Entity Type:Individual
Prefix:MR
First Name:ABIODUN
Middle Name:OYEDIRAN
Last Name:OYENIYI
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 NORTHVIEW CT
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10301-1363
Mailing Address - Country:US
Mailing Address - Phone:347-236-5122
Mailing Address - Fax:
Practice Address - Street 1:100 NORTHVIEW CT
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10301-1363
Practice Address - Country:US
Practice Address - Phone:347-236-5122
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-25
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
174400000X
NY0934771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No174400000XOther Service ProvidersSpecialist