Provider Demographics
NPI:1811643117
Name:ADAMS, JONATHAN ORLANDO (LMSW)
Entity type:Individual
Prefix:
First Name:JONATHAN
Middle Name:ORLANDO
Last Name:ADAMS
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 SHERMAN AVE APT 43
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10034-5602
Mailing Address - Country:US
Mailing Address - Phone:253-226-1732
Mailing Address - Fax:
Practice Address - Street 1:113 SHERMAN AVE APT 43
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10034-5602
Practice Address - Country:US
Practice Address - Phone:253-226-1732
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-24
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1110881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical