MEDICARE: ADAM SETH KROLOFF LICSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	LICSW1143664	MA

General Provider Information

NPI Number	:	1144014713
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADAM SETH KROLOFF LICSW

Provider Business Mailing Address
First Line	:	875 MASSACHUSETTS AVE
Second Line	:	UNITS 84 & 85
City	:	CAMBRIDGE
State	:	MA
Zip	:	02139-3067
Country	:	US
Telephone Number	:	617-354-4450
Fax Number	:	833-941-3910

Provider Business Practice Location Address
First Line	:	875 MASSACHUSETTS AVE
Second Line	:	UNITS 84 & 85
City	:	CAMBRIDGE
State	:	MA
Zip	:	02139-3067
Country	:	US
Telephone Number	:	617-354-4450
Fax Number	:	833-941-3910

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/08/2025
Last Update Date	:	05/08/2026

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