Individual provider · Type 1 NPI

Olatunji Abiodun Odusanwo, LCSW-R

Clinical Social Worker · Staten Island, NY

NPI number 1013979897 Active

Practice location

465 New Dorp Ln
Staten Island, NY 10306-4902

Fax (718) 987-0223

Mailing address

1 Edgewater St, Suite 723
Staten Island, NY 10305-4900

Other practice locations

  • 777 Seaview Ave, Staten Island, NY 10305-3436 · (718) 226-8912

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X057740 (NY)
School Social Worker 1041S0200X057740 (NY)
Clinical Social Worker Primary 1041C0700X057740 (NY)

Clinical Social Worker: 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 interpers…

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About NPI 1013979897

Olatunji Abiodun Odusanwo, LCSW-R's National Provider Identifier is 1013979897, issued on Apr 5, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Staten Island, NY. The record was last updated on Aug 25, 2020.