Samuel Adeoye, LSW
Social Worker in Chicago, IL. Individual provider (NPI-1).
NPI number1558031476
StatusActive
Last updated in NPPESSep 14, 2021
Details
- NPI
- 1558031476
- Entity type
- Individual (NPI-1)
- Name
- Samuel Adeoye
- Credential
- LSW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 14, 2021
- Certification date
- Sep 14, 2021
- Last updated
- Sep 14, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | 150.104124 | IL | Yes |
Practice location
4009 N Broadway StChicago, IL 60613-2110
Phone 773-388-1600 · Fax 773-388-8936
Mailing address
4025 N Sheridan RdChicago, IL 60613-2010
Phone 773-388-1600 · Fax 773-388-8936
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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