Provider Demographics
NPI:1205825718
Name:ADAMY, NANCY MARIE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:MARIE
Last Name:ADAMY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:NANCY
Other - Middle Name:MARIE
Other - Last Name:TIRINATO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:3805 MOSLEY RD
Mailing Address - Street 2:
Mailing Address - City:CAZENOVIA
Mailing Address - State:NY
Mailing Address - Zip Code:13035
Mailing Address - Country:US
Mailing Address - Phone:315-824-2751
Mailing Address - Fax:315-655-2692
Practice Address - Street 1:10 UTICA ST
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NY
Practice Address - Zip Code:13346
Practice Address - Country:US
Practice Address - Phone:315-824-2751
Practice Address - Fax:315-655-2692
Is Sole Proprietor?:No
Enumeration Date:2005-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0275231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01615154Medicaid
52408BMedicare ID - Type Unspecified