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NPI Code Detail

MEDICARE: MRS. ANDREA LADAWN ADAMS MSSW, LCSW

MEDICARE:  MRS. ANDREA LADAWN ADAMS  MSSW, LCSW
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 Worker34003322AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000188109OTHERINANTHEM PROVIDER NUMBER

General Provider Information

NPI Number : 1376581504
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANDREA LADAWN ADAMS MSSW, LCSW
Provider Business Mailing Address
First Line : 991 S KENMORE DR
Second Line :
City : EVANSVILLE
State : IN
Zip : 47714-7514
Country : US
Telephone Number : 812-491-7739
Fax Number : 812-491-8095
Provider Business Practice Location Address
First Line : 991 S KENMORE DR
Second Line :
City : EVANSVILLE
State : IN
Zip : 47714-7514
Country : US
Telephone Number : 812-491-7739
Fax Number : 812-491-8095
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2006
Last Update Date : 03/07/2024

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