MEDICARE: NOELLE ADAMI LCSW-C

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	104100000X	Social Worker	16088	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154633352
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NOELLE ADAMI LCSW-C

Provider Business Mailing Address
First Line	:	65 DUKE ST STE 203
Second Line	:
City	:	PRINCE FREDERICK
State	:	MD
Zip	:	20678-6128
Country	:	US
Telephone Number	:	240-237-8716
Fax Number	:	888-883-1589

Provider Business Practice Location Address
First Line	:	65 DUKE ST STE 203
Second Line	:
City	:	PRINCE FREDERICK
State	:	MD
Zip	:	20678-6128
Country	:	US
Telephone Number	:	240-237-8716
Fax Number	:	888-883-1589

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

Provider Enumeration Date	:	07/06/2010
Last Update Date	:	12/18/2019

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