Adanna Chienyenwa Anokam, LMSW
Individual provider Active NPI Social Worker · South Setauket, NY
NPI 1629618319 · NPPES record last updated Jan 9, 2020
Key facts
- NPI
- 1629618319
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 101734 (NY)
- Practice address
- 45 Brayton CT N
South Setauket, NY 11720-4624 - Phone
- (631) 575-7047
- NPI assigned
- Jan 9, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101734 | NY | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 101734 | NY | Yes |
Addresses
Primary practice location
45 Brayton CT N
South Setauket, NY 11720-4624
Mailing address
45 Brayton CT N
South Setauket, NY 11720-4624
Phone (631) 575-7047
Other providers in South Setauket, NY
- Active Retirement Community, Inc.
- Jihye Sophia Ahn
- Alexandra Gleason, LMFT, PLLC
- Amanda Elizabeth Aliperti
- Sara Ammann
- Anthony J. Perrotta DDS PC
- Barbara Inglis Miller,LCSW PC
- Laura Ann Bence
- Joan Berkley
- Kristen Elizabeth Binder
All providers in South Setauket, NY · Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.