Provider Demographics
NPI:1851679724
Name:ADAMO, LAUREN ALEXANDRIA (LCSW-R)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:ALEXANDRIA
Last Name:ADAMO
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 JOHN ST
Mailing Address - Street 2:
Mailing Address - City:SAYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11782-1308
Mailing Address - Country:US
Mailing Address - Phone:631-617-3276
Mailing Address - Fax:
Practice Address - Street 1:46 JOHN ST
Practice Address - Street 2:
Practice Address - City:SAYVILLE
Practice Address - State:NY
Practice Address - Zip Code:11782-1308
Practice Address - Country:US
Practice Address - Phone:631-617-3276
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-26
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0826471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical