Provider Demographics
NPI:1790122430
Name:SYLVIA, ADAM R (LCSW, CASAC)
Entity Type:Individual
Prefix:MR
First Name:ADAM
Middle Name:R
Last Name:SYLVIA
Suffix:
Gender:M
Credentials:LCSW, CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 JAY ST
Mailing Address - Street 2:14TH FL.
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-2935
Mailing Address - Country:US
Mailing Address - Phone:347-296-1269
Mailing Address - Fax:
Practice Address - Street 1:320 JAY ST
Practice Address - Street 2:14TH FL.
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-2935
Practice Address - Country:US
Practice Address - Phone:347-296-1269
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-03
Last Update Date:2017-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0845581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical