IndividualActive
Fitzgerald Ajoku
NPI 1104583418 · Clinical Social Worker · Lake Bluff, IL
Provider details
- NPI number
- 1104583418
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 128146 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
30047 N Waukegan Rd
Lake Bluff, IL 60044-1023
Phone: (914) 609-1183
Street-level locationGet directions
Mailing address
30047 N Waukegan Rd
Lake Bluff, IL 60044-1023
Registry dates
- Enumerated
- 2021-11-22
- Last updated
- 2025-02-03
- Certified
- 2025-02-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.