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NPI Code Detail

MEDICARE: ROBERT J ADAMS LCSW, NCSP

MEDICARE: ROBERT J ADAMS LCSW, NCSP
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 Worker34002476AIN

General Provider Information

NPI Number : 1336162346
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT J ADAMS LCSW, NCSP
Provider Business Mailing Address
First Line : PO BOX 211
Second Line :
City : PENDLETON
State : IN
Zip : 46064-0211
Country : US
Telephone Number : 765-623-1227
Fax Number : 765-778-8328
Provider Business Practice Location Address
First Line : 1 PLAZA DR
Second Line : STE 14
City : PENDLETON
State : IN
Zip : 46064-8823
Country : US
Telephone Number : 765-623-1227
Fax Number : 765-778-8328
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2006
Last Update Date : 10/18/2009

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Directions to “ ROBERT J ADAMS LCSW, NCSP” Practice Location

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