Provider Demographics
NPI:1922742535
Name:ADORNO, VICKIE LYNN (LNHA, CARE MANAGER)
Entity Type:Individual
Prefix:MISS
First Name:VICKIE
Middle Name:LYNN
Last Name:ADORNO
Suffix:
Gender:F
Credentials:LNHA, CARE MANAGER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 PEQUOT PARK RD STE 207
Mailing Address - Street 2:
Mailing Address - City:WESTBROOK
Mailing Address - State:CT
Mailing Address - Zip Code:06498-1795
Mailing Address - Country:US
Mailing Address - Phone:860-388-8069
Mailing Address - Fax:203-408-7685
Practice Address - Street 1:7 PEQUOT PARK RD STE 207
Practice Address - Street 2:
Practice Address - City:WESTBROOK
Practice Address - State:CT
Practice Address - Zip Code:06498-1795
Practice Address - Country:US
Practice Address - Phone:860-391-6330
Practice Address - Fax:203-408-7685
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-21
Last Update Date:2022-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty