Provider Demographics
NPI:1205308160
Name:PAPPOE, NAA ADOLEY MOELEY (LMSW)
Entity type:Individual
Prefix:
First Name:NAA ADOLEY
Middle Name:MOELEY
Last Name:PAPPOE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:152 N 16TH ST
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07003-2927
Mailing Address - Country:US
Mailing Address - Phone:646-667-9513
Mailing Address - Fax:
Practice Address - Street 1:152 N 16TH ST
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07003-2927
Practice Address - Country:US
Practice Address - Phone:646-667-9513
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-17
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY095972-1104100000X
NJ44SL06232500104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker