Healthcare Provider Details

I. General information

NPI: 1447892237
Provider Name (Legal Business Name): AMANDA THOMAS ADAMS MSW, LCSW-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/13/2019
Last Update Date: 09/03/2025
Certification Date: 09/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

STARENWEG 23
BOBLINGEN BADEN-WURTTEMBERG
71032
DE

IV. Provider business mailing address

CMR 480 BOX 1865
APO AE
09128-1019
US

V. Phone/Fax

Practice location:
  • Phone:
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number28366
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: