Provider Demographics
NPI:1306108238
Name:PINERO, AMADO JESUS (LCSW)
Entity type:Individual
Prefix:
First Name:AMADO
Middle Name:JESUS
Last Name:PINERO
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1155 BRICKELL BAY DR APT 1806
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33131-3215
Mailing Address - Country:US
Mailing Address - Phone:786-514-9847
Mailing Address - Fax:
Practice Address - Street 1:1155 BRICKELL BAY DR APT 1806
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33131-3215
Practice Address - Country:US
Practice Address - Phone:786-514-9847
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-15
Last Update Date:2012-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW35951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical