Adams, Dericia Latisha
Adams, Dericia Latisha is an sole proprietor health care provider with primary practice located at 1650 Selwyn Ave Fl 7 , Bronx NY 10457-7626. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Adams, Dericia Latisha can be contacted via phone (718) 753-7479.Contact Information
Primary practice address
1650 Selwyn Ave Fl 7
Bronx NY 10457-7626
Phone: (718) 753-7479
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | ||
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | New York |
Profile Details
| NPI number | 1235835463 |
|---|---|
| LBN Legal business name | Adams, Dericia Latisha |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 31st, 2023 |
| Last updated | Jan 31st, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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