MEDICARE: ADOPTION HOME STUDY ASSOCIATES

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	137620	PA

General Provider Information

NPI Number	:	1477917946
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADOPTION HOME STUDY ASSOCIATES

Provider Business Mailing Address
First Line	:	64 E UWCHLAN AVE
Second Line	:	#248
City	:	EXTON
State	:	PA
Zip	:	19341-1203
Country	:	US
Telephone Number	:	610-268-6800
Fax Number	:	800-871-3196

Provider Business Practice Location Address
First Line	:	118 POTTSTOWN PIKE
Second Line	:	SECOND FLOOR
City	:	CHESTER SPRINGS
State	:	PA
Zip	:	19425-9561
Country	:	US
Telephone Number	:	610-268-6800
Fax Number	:	800-871-3196

Authorized Official
Title or Position	:	OWNER
Name	:	JESSICA ROSEBOROUGH
Credential	:	LCSW
Telephone Number	:	610-268-6800

Provider Enumeration Date	:	04/11/2016
Last Update Date	:	04/11/2016

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