Provider Demographics
NPI:1679311146
Name:SOMERS, AYONEKE TAMERA (LMSW)
Entity type:Individual
Prefix:
First Name:AYONEKE
Middle Name:TAMERA
Last Name:SOMERS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1242 TINTON AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10456-3600
Mailing Address - Country:US
Mailing Address - Phone:718-708-2281
Mailing Address - Fax:
Practice Address - Street 1:730 BRYANT AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10474-6006
Practice Address - Country:US
Practice Address - Phone:917-471-5599
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-18
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY123634-01104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker