Physician Compare National (NPI:1790864650)

HEALTHCARE PROVIDER: ADEJOKE ADENRELE ALAO L.C.S.W.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1790864650
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0749304590
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100831000257
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ALAO
	Individual professional last name
Provider First Name	ADEJOKE
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1996
	Individual professional's medical school graduation year
Primary Specialty	CLINICAL SOCIAL WORKER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	AURORA COMPREHENSIVE COMMUNITY MENTAL HEALTH CENTER INC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	9335047778
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	41
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1290 CHAMBERS RD
	Group Practice or individual's line 1 address
City	AURORA
	Group Practice or individual's city
State	CO
	Group Practice or individual's state
Zip Code	800117117
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3036172300
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	M