Provider Demographics
NPI:1407424468
Name:ADORNO, GAIL FRANCES (LICSW)
Entity Type:Individual
Prefix:
First Name:GAIL
Middle Name:FRANCES
Last Name:ADORNO
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:GAIL
Other - Middle Name:FRANCES
Other - Last Name:ADORNO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:5123 MONTICELLO DR
Mailing Address - Street 2:
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98026-3449
Mailing Address - Country:US
Mailing Address - Phone:202-718-5748
Mailing Address - Fax:
Practice Address - Street 1:5123 MONTICELLO DR
Practice Address - Street 2:
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98026-3449
Practice Address - Country:US
Practice Address - Phone:202-718-5748
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-16
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA608173061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical