Healthcare Provider Details

I. General information

NPI: 1720111776
Provider Name (Legal Business Name): ZELLA S ADAMS LCSWC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS ZELLA RAE SILVERMAN

II. Dates (important events)

Enumeration Date: 03/13/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

660 KENILWORTH DRIVE SUITE 101
TOWSON MD
21204
US

IV. Provider business mailing address

203 N BEECHWOOD AVENUE
BALTIMORE MD
21228-4311
US

V. Phone/Fax

Practice location:
  • Phone: 410-583-5377
  • Fax: 410-583-1127
Mailing address:
  • Phone: 410-744-2820
  • Fax: 410-744-2820

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number02448
License Number StateMD

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: