NPI Code Details Logo

NPI 1760802623

NPI 1760802623 : KIMBERLY MARSHALL ADAMS LCSW : BETHLEHEM, PA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1760802623
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    KIMBERLY MARSHALL ADAMS LCSW
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/18/2014
-----------------------------------------------------
    Last Update Date     |    07/07/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    257 BRODHEAD RD 
-----------------------------------------------------
    City                 |    BETHLEHEM
-----------------------------------------------------
    State                |    PA
-----------------------------------------------------
    Zip                  |    18017-8938
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    484-822-5700
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1047 TREELINE DR 
-----------------------------------------------------
    City                 |    ALLENTOWN
-----------------------------------------------------
    State                |    PA
-----------------------------------------------------
    Zip                  |    18103-6009
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    484-560-2080
-----------------------------------------------------
    Fax                  |    610-861-4677
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    104100000X
-----------------------------------------------------
    Taxonomy Name        |    Social Worker
-----------------------------------------------------
    License Number       |    SW128220
-----------------------------------------------------
    License Number State |    PA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    1041C0700X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Social Worker
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    1041C0700X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Social Worker
-----------------------------------------------------
    License Number       |    CW020465
-----------------------------------------------------
    License Number State |    PA
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.