FATAI ADESHINA POPOOLA LICSW,LADC
NPI 1174035331
Social Worker - Clinical in Minneapolis, MN

Q: What is Fatai Popoola's NPI number?

The NPI number for Fatai Popoola is 1174035331. It was assigned to this individual provider in the NPPES registry on October 27, 2017.

Q: What is Fatai Popoola's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Fatai Popoola was last updated on February 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 October 27, 2017PECOS Enrolled

525 PORTLAND AVE # MC963, MINNEAPOLIS, MN 55415(612) 396-2280 Get Directions Write a Review

NPPES record last updated: February 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 6, 2025, Jan 26, 2023, Oct 27, 2017 (3 updates tracked since 2017).

On this page

About Fatai Adeshina Popoola Licsw,ladc NPPES

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

FATAI ADESHINA POPOOLA LICSW,LADC (NPI 1174035331) is an individual clinical provider in Minneapolis, Minnesota, licensed in Minnesota (24938) and active in the NPI registry since October 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174035331

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameFATAI ADESHINA POPOOLACredential: LICSW,LADC

Location Address525 PORTLAND AVE # MC963Minneapolis, MN 55415-1533

Mailing Address525 Portland Ave # Mc963Minneapolis, MN 55415-1533 · (612) 396-2280 · Fax (612) 466-9432

Phone(612) 396-2280

Sole ProprietorYes

Enumeration DateOctober 27, 2017

Last NPPES UpdateFebruary 6, 20253 updates tracked since enumeration

NPPES CertifiedFebruary 6, 2025

✔ NPI 1174035331 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 MN · 24938

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 ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 303521 (MN)

Also ListedPsychologist · Addiction (Substance Use Disorder)Taxonomy 103TA0400X

525 PORTLAND AVE # MC963, Minneapolis, MN 55415

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fatai Adeshina Popoola Licsw,ladc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55415 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $56.00 – $168.28

Typical copayment $0.00 (range $14.00 – $42.07)

Most-billed visit code NA

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

THOMAS MCCARTHY JR.

Counselor (Mental Health)