Healthcare Provider Details

I. General information

NPI: 1285691543
Provider Name (Legal Business Name): RICHARD RYBERG ADAMS LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/28/2006
Last Update Date: 05/12/2025
Certification Date: 05/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIT 33100 BOX LANDSTUHL
APO AE
09180-3100
US

IV. Provider business mailing address

CMR 427 BOX 3175
APO AE
09630-1032
US

V. Phone/Fax

Practice location:
  • Phone: 314-636-9726
  • Fax:
Mailing address:
  • Phone: 314-636-9726
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number139832-3501
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number139832-3501
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: