MEDICARE: ESTHER ELAINE AWOYINKA LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1962083691
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ESTHER ELAINE AWOYINKA LCSW

Provider Business Mailing Address
First Line	:	8757 FLUVIA TER APT 2A
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46250-3226
Country	:	US
Telephone Number	:	317-719-8513
Fax Number	:

Provider Business Practice Location Address
First Line	:	3777 PRIORITY WAY SOUTH DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46240-1491
Country	:	US
Telephone Number	:	317-719-8513
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/15/2021
Last Update Date	:	04/15/2021

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