Healthcare Provider Details

I. General information

NPI: 1891195012
Provider Name (Legal Business Name): ADRIENNE AARON MSW, LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2014
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 IVY CLUB LN UNIT 634
LANDOVER MD
20785-4519
US

IV. Provider business mailing address

4037 E INDEPENDENCE BLVD
CHARLOTTE NC
28205-3260
US

V. Phone/Fax

Practice location:
  • Phone: 609-217-2115
  • Fax:
Mailing address:
  • Phone: 609-217-2115
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC010136
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License NumberLC50079928
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: