Provider Demographics
NPI:1023445103
Name:ADAMS, RAYMONDA ALFREDA (LCSW-C)
Entity type:Individual
Prefix:MRS
First Name:RAYMONDA
Middle Name:ALFREDA
Last Name:ADAMS
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1612 ROUNDHILL RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21218-2213
Mailing Address - Country:US
Mailing Address - Phone:410-467-0693
Mailing Address - Fax:
Practice Address - Street 1:5310 OLD COURT RD
Practice Address - Street 2:SUITE 308 OFFICE 1
Practice Address - City:RANDALLSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21133-5243
Practice Address - Country:US
Practice Address - Phone:443-474-1487
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-03
Last Update Date:2013-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD153301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical