Healthcare Provider Details

I. General information

NPI: 1548236433
Provider Name (Legal Business Name): DONNA J ADAMS MSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

390 ERIE AVE
CONNERSVILLE IN
47331-3177
US

IV. Provider business mailing address

831 DILLON DR PO BOX 487
RICHMOND IN
47374-8048
US

V. Phone/Fax

Practice location:
  • Phone: 765-825-4124
  • Fax:
Mailing address:
  • Phone: 765-983-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number34005006A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number34005006A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: