Theophilus Adeniran, LMSW

NPI 1831355940 · on the registry since 2008 · sole proprietor

Practice

Address: 1931 Mott Ave
4th Floor
Far Rockaway, NY 11691
Phone: (718) 471-6818
Fax: (718) 337-2750
Organisation at this address: Safe Space Nyc, Inc.
Jh Community Services, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-07-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York