OLUSOJI SAMUEL IBUKUN NPI 1730078650

NPI Information

  • NPI: 1730078650
  • Provider Name: OLUSOJI SAMUEL IBUKUN
  • Classification: Social Worker - 104100000X
  • Entity Type: Individual
  • Address: 1960 EVERGREEN TERRACE DR W APT 1
    CARBONDALE, IL
    ZIP 62901
  • Phone: (618) 527-7057

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NPI Details

Olusoji Samuel Ibukun is a social worker in Carbondale, IL. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. Olusoji Samuel Ibukun NPI is 1730078650. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1960 EVERGREEN TERRACE DR W APT 1
CARBONDALE, IL
ZIP 62901-933
Phone: (618) 527-7057

The enumeration date for this NPI number is 7/3/2025 and was last updated on 7/3/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1104100000XSocial WorkerYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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