Provider Demographics
NPI:1346793825
Name:UMUNNA, ADANMA GRACE (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:ADANMA
Middle Name:GRACE
Last Name:UMUNNA
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1699 FULTON AVE
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10457-8112
Mailing Address - Country:US
Mailing Address - Phone:646-458-1614
Mailing Address - Fax:646-514-2749
Practice Address - Street 1:1699 FULTON AVE
Practice Address - Street 2:1ST FLOOR
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10457-8112
Practice Address - Country:US
Practice Address - Phone:646-458-1614
Practice Address - Fax:646-514-2749
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-01
Last Update Date:2016-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY720874791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical