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OLATUNJI ABIODUN ODUSANWO LCSW-R
NPI 1013979897
Social Worker - Clinical in Staten Island, NY

Active since April 05, 2006
465 NEW DORP LN, STATEN ISLAND, NY 10306(718) 987-0128(718) 987-0223 Get Directions Write a Review

NPPES record last updated: August 25, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Olatunji Abiodun Odusanwo Lcsw-r NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLATUNJI ABIODUN ODUSANWO LCSW-R (NPI 1013979897) is an individual clinical provider in Staten Island, New York, licensed in New York (057740) and active in the NPI registry since April 2006. He maintains a secondary practice location in Staten Island.

NPPES Registry Identity

NPI1013979897
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameOLATUNJI ABIODUN ODUSANWOCredential: LCSW-R
Location Address465 NEW DORP LNStaten Island, NY 10306-4902
Mailing Address1 Edgewater St, Suite 723Staten Island, NY 10305-4900 · (718) 226-1008 · Fax (718) 226-1039
Phone(718) 987-0128
Fax(718) 987-0223
Sole ProprietorNo
Enumeration DateApril 5, 2006
Last NPPES UpdateAugust 25, 2020
NPPES CertifiedAugust 7, 2020
✔ NPI 1013979897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 057740
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedSocial WorkerTaxonomy 104100000X · License 057740 (NY)
Also ListedSocial Worker · SchoolTaxonomy 1041S0200X · License 057740 (NY)
465 NEW DORP LN, Staten Island, NY 10306
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Secondary Practice Location 1

Location 1777 Seaview AveStaten Island, NY 10305-3436 · Phone (718) 226-8912

Other Identifiers 1

Medicaid02167866NY

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXANDREA GONCHAR
Speech-Language Pathologist
465 NEW DORP LN, HUNGERFORD SCHOOL
STATEN ISLAND, NY 10306
Richmond County (718) 668-1395
MRS. WENDY ALEXANDRA SIMONS PHYSICIAN ASSISTANT
Physician Assistant
465 NEW DORP LN, SUITE S-117
STATEN ISLAND, NY 10306
Richmond County (718) 987-0128
LISA AURIEMMA LCSW
Social Worker (Clinical)
465 NEW DORP LN
STATEN ISLAND, NY 10306
Richmond County (718) 667-8686
MRS. SUSANNE MARIE AIELLO R.N.
Registered Nurse (School)
465 NEW DORP LN, ROOM G22
STATEN ISLAND, NY 10306
Richmond County (718) 667-8686
MS. JEANNINE ANAHI BROOKS LCSW
Social Worker (Clinical)
465 NEW DORP LN
STATEN ISLAND, NY 10306
Richmond County (718) 987-0128
CAROL DOPMAN
Speech-Language Pathologist
465 NEW DORP LN
STATEN ISLAND, NY 10306
Richmond County (718) 668-1365

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Olatunji Odusanwo's NPI number?

The NPI number for Olatunji Odusanwo is 1013979897. It was assigned to this individual provider in the NPPES registry on April 5, 2006.

Where is Olatunji Odusanwo located?

Olatunji Odusanwo practices at 465 New Dorp Ln, Staten Island, NY 10306. The listed phone number is (718) 987-0128.

What is Olatunji Odusanwo's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Olatunji Odusanwo was last updated on August 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.