Provider Demographics
NPI:1710241187
Name:CECORA, LENA (MSW)
Entity Type:Individual
Prefix:MRS
First Name:LENA
Middle Name:
Last Name:CECORA
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MS
Other - First Name:LENA
Other - Middle Name:
Other - Last Name:ADAMO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:32 TIDEWATER AVE
Mailing Address - Street 2:
Mailing Address - City:MASSAPEQUA
Mailing Address - State:NY
Mailing Address - Zip Code:11758-8426
Mailing Address - Country:US
Mailing Address - Phone:516-795-0166
Mailing Address - Fax:
Practice Address - Street 1:32 TIDEWATER AVE
Practice Address - Street 2:
Practice Address - City:MASSAPEQUA
Practice Address - State:NY
Practice Address - Zip Code:11758-8426
Practice Address - Country:US
Practice Address - Phone:516-795-0166
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker