MEDICARE: PROF. ALMA C ADAMS MSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1104196278
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PROF. ALMA C ADAMS MSW

Provider Business Mailing Address
First Line	:	323 BOYLSTON ST
Second Line	:	UNIT 2-302
City	:	BROOKLINE
State	:	MA
Zip	:	02445-7600
Country	:	US
Telephone Number	:	617-277-3212
Fax Number	:

Provider Business Practice Location Address
First Line	:	1534 TREMONT ST
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02120
Country	:	US
Telephone Number	:	617-277-3212
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/06/2012
Last Update Date	:	01/06/2012

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