Provider Demographics
NPI:1770259657
Name:COORE, ADENIKE SAKINA (LMSW)
Entity Type:Individual
Prefix:MS
First Name:ADENIKE
Middle Name:SAKINA
Last Name:COORE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14131 ALDORA CIR
Mailing Address - Street 2:
Mailing Address - City:BURTONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20866-2028
Mailing Address - Country:US
Mailing Address - Phone:240-423-0412
Mailing Address - Fax:
Practice Address - Street 1:14131 ALDORA CIR
Practice Address - Street 2:
Practice Address - City:BURTONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20866-2028
Practice Address - Country:US
Practice Address - Phone:240-423-0412
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-19
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD25757104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker