Provider Demographics
NPI:1912525130
Name:D'ADAMO, JOAN (LCSW-C)
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:
Last Name:D'ADAMO
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 1:6635 LOCH HILL RD
Mailing Address - Street 2:
Mailing Address - City:LOCH HILL
Mailing Address - State:MD
Mailing Address - Zip Code:21239-1645
Mailing Address - Country:US
Mailing Address - Phone:410-967-5650
Mailing Address - Fax:
Practice Address - Street 1:6635 LOCH HILL RD
Practice Address - Street 2:
Practice Address - City:LOCH HILL
Practice Address - State:MD
Practice Address - Zip Code:21239-1645
Practice Address - Country:US
Practice Address - Phone:410-967-5650
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-14
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD075981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty