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NPI Code Detail

MEDICARE: ADAM HOLDEN LMSW

MEDICARE:   ADAM  HOLDEN  LMSW
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
11041C0700XClinical Social Worker6801122340MI

General Provider Information

NPI Number : 1144068636
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADAM HOLDEN LMSW
Provider Business Mailing Address
First Line : 440 W KALAMAZOO AVE
Second Line :
City : KALAMAZOO
State : MI
Zip : 49007-3347
Country : US
Telephone Number : 269-716-8793
Fax Number :
Provider Business Practice Location Address
First Line : 418 W KALAMAZOO AVE
Second Line :
City : KALAMAZOO
State : MI
Zip : 49007-3334
Country : US
Telephone Number : 269-716-8793
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2024
Last Update Date : 06/02/2026

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Directions to “ ADAM HOLDEN LMSW” Practice Location

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