Provider Demographics
NPI:1336712017
Name:ADAMO, SOPHIA ALESSANDRA (MSW, LMSW)
Entity Type:Individual
Prefix:MISS
First Name:SOPHIA
Middle Name:ALESSANDRA
Last Name:ADAMO
Suffix:
Gender:F
Credentials:MSW, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11509 HIGHLAND FARM CT
Mailing Address - Street 2:
Mailing Address - City:LA PLATA
Mailing Address - State:MD
Mailing Address - Zip Code:20646-3301
Mailing Address - Country:US
Mailing Address - Phone:301-752-9448
Mailing Address - Fax:
Practice Address - Street 1:44101 AIRPORT VIEW DR
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:MD
Practice Address - Zip Code:20636-3145
Practice Address - Country:US
Practice Address - Phone:301-373-3065
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-21
Last Update Date:2021-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD27219104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker