MEDICARE: ELIZABETH ADAME

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	119696	CA

General Provider Information

NPI Number	:	1124982947
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH ADAME

Provider Business Mailing Address
First Line	:	401 THE CITY DR S
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92868-3303
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	639 E 154TH ST
Second Line	:
City	:	COMPTON
State	:	CA
Zip	:	90220-2511
Country	:	US
Telephone Number	:	310-561-5224
Fax Number	:

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

Provider Enumeration Date	:	12/15/2025
Last Update Date	:	12/15/2025

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Directions to “ ELIZABETH ADAME ” Practice Location

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