Provider Demographics
NPI:1548563356
Name:WARM, ADAM (LMSW)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:
Last Name:WARM
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 SULLIVAN DR
Mailing Address - Street 2:
Mailing Address - City:PATTERSON
Mailing Address - State:NY
Mailing Address - Zip Code:12563-1217
Mailing Address - Country:US
Mailing Address - Phone:914-924-3435
Mailing Address - Fax:
Practice Address - Street 1:28 SULLIVAN DR
Practice Address - Street 2:
Practice Address - City:PATTERSON
Practice Address - State:NY
Practice Address - Zip Code:12563-1217
Practice Address - Country:US
Practice Address - Phone:914-924-3435
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-16
Last Update Date:2011-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY080165104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker