Healthcare Provider Details

I. General information

NPI: 1720605355
Provider Name (Legal Business Name): CYNTHIA ANN ADAMS LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2020
Last Update Date: 02/26/2025
Certification Date: 02/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2687 SARDIS CHASE CT
BUFORD GA
30519-6008
US

IV. Provider business mailing address

2687 SARDIS CHASE CT
BUFORD GA
30519-6008
US

V. Phone/Fax

Practice location:
  • Phone: 404-750-3421
  • Fax:
Mailing address:
  • Phone: 404-750-3421
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberMSW005174
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW008803
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: