Healthcare Provider Details

I. General information

NPI: 1801322060
Provider Name (Legal Business Name): TRUDY KAY ADKINS LCSW-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TRUDY KAY ADKINS LCSW-C

II. Dates (important events)

Enumeration Date: 05/10/2017
Last Update Date: 01/27/2025
Certification Date: 01/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9730 HEALTHWAY DR
BERLIN MD
21811-1154
US

IV. Provider business mailing address

6040 PUBLIC LANDING RD
SNOW HILL MD
21863-2453
US

V. Phone/Fax

Practice location:
  • Phone: 410-629-0164
  • Fax:
Mailing address:
  • Phone: 410-632-1100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number18292
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number18292
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: