Wellformed AI

NPI 1932030442 · live from the CMS NPI Registry

Marquita Melana Ajibade

Social Worker in Media, PA. National Provider Identifier 1932030442, active.

NPI record

NPI1932030442 Type 1 · individual
StatusActive
Primary specialtySocial Worker 104100000X
Practice location1023 E Baltimore Pike Ste 210, Media, PA 19063
Practice phone484-202-0751
Mailing address105 Cherry St, Collingdale, PA 19023
EnumeratedMay 26, 2026
Last updatedMay 26, 2026
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Social Worker primary104100000XSW144046 (PA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.