Individual
CHARISSE ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9777 QUEENS BLVD, REGO PARK, NY 11374-3335
(718) 760-0090
Mailing address
297 LEGION ST # 2A, BROOKLYN, NY 11212-4042
(646) 275-0044
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
108050-01
NY
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
108050-01
LMSW
NY
Enumeration date
12/01/2017
Last updated
06/11/2021
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