YETUNDE BAMISAYO BAMISILE LMSW
NPI 1124665609
Social Worker in Staten Island, NY

Q: What is Yetunde Bamisile's NPI number?

The NPI number for Yetunde Bamisile is 1124665609. It was assigned to this individual provider in the NPPES registry on December 4, 2019.

Q: What is Yetunde Bamisile's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Yetunde Bamisile was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.

Active since December 04, 2019PECOS Enrolled

1765 SOUTH AVE, STATEN ISLAND, NY 10314(718) 761-9800 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 11, 2026, Dec 4, 2019 (2 updates tracked since 2019).

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About Yetunde Bamisayo Bamisile Lmsw NPPES

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

YETUNDE BAMISAYO BAMISILE LMSW (NPI 1124665609) is an individual social worker in Staten Island, New York, licensed in New York (108299-01) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1124665609

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameYETUNDE BAMISAYO BAMISILECredential: LMSW

Location Address1765 SOUTH AVEStaten Island, NY 10314-3604

Mailing Address1765 South AveStaten Island, NY 10314-3604 · (718) 761-9800

Phone(718) 761-9800

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateDecember 4, 2019

Last NPPES UpdateMarch 11, 20262 updates tracked since enumeration

NPPES CertifiedMarch 11, 2026

✔ NPI 1124665609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in NY · 108299-01

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 098859 (NY)

1765 SOUTH AVE, Staten Island, NY 10314

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Yetunde Bamisayo Bamisile Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840798591

PECOS Enrollment IDI20250812001380

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

ALIDA HURD

Behavior Technician