MEDICARE: L. ROBERT ADAMS LCSW

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	PR018908-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PRIS 136311P	OTHER	NY	HIP

General Provider Information

NPI Number	:	1427028653
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	L. ROBERT ADAMS LCSW

Provider Business Mailing Address
First Line	:	6 KILBURN RD
Second Line	:
City	:	GARDEN CITY
State	:	NY
Zip	:	11530-4110
Country	:	US
Telephone Number	:	516-741-1918
Fax Number	:

Provider Business Practice Location Address
First Line	:	233 7TH ST
Second Line	:
City	:	GARDEN CITY
State	:	NY
Zip	:	11530-5747
Country	:	US
Telephone Number	:	516-741-1918
Fax Number	:

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

Provider Enumeration Date	:	01/23/2006
Last Update Date	:	12/09/2008

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