Healthcare Provider Details

I. General information

NPI: 1245565027
Provider Name (Legal Business Name): JULISSA S ADAMES-TORRES LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2009
Last Update Date: 12/26/2023
Certification Date: 12/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

915 WESTCHESTER AVE
BRONX NY
10459-3009
US

IV. Provider business mailing address

915 WESTCHESTER AVE
BRONX NY
10459-3009
US

V. Phone/Fax

Practice location:
  • Phone: 718-764-1570
  • Fax:
Mailing address:
  • Phone: 718-764-1570
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number082764
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number083183
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: