Healthcare Provider Details

I. General information

NPI: 1760802623
Provider Name (Legal Business Name): KIMBERLY MARSHALL ADAMS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2014
Last Update Date: 07/07/2025
Certification Date: 07/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

257 BRODHEAD RD
BETHLEHEM PA
18017-8938
US

IV. Provider business mailing address

1047 TREELINE DR
ALLENTOWN PA
18103-6009
US

V. Phone/Fax

Practice location:
  • Phone: 484-822-5700
  • Fax:
Mailing address:
  • Phone: 484-560-2080
  • Fax: 610-861-4677

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberSW128220
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW020465
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: