Healthcare Provider Details

I. General information

NPI: 1659927267
Provider Name (Legal Business Name): BRITTANY N ADAMS LISW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRITTANY BUSH

II. Dates (important events)

Enumeration Date: 08/11/2019
Last Update Date: 09/24/2025
Certification Date: 09/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

860 VALLEY ST.
DAYTON OH
45404
US

IV. Provider business mailing address

PO BOX 933421
CLEVELAND OH
44193-0039
US

V. Phone/Fax

Practice location:
  • Phone: 937-617-3060
  • Fax: 937-641-3285
Mailing address:
  • Phone: 937-641-5072
  • Fax: 937-641-6129

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI.2305069
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: