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NPI Code Detail

MEDICARE: MR. CHRISTOPHER SCOTT ADCOCK JR. LCSW

MEDICARE:  MR. CHRISTOPHER SCOTT ADCOCK JR. 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 Worker0904012535VA

General Provider Information

NPI Number : 1639840523
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CHRISTOPHER SCOTT ADCOCK JR. LCSW
Provider Business Mailing Address
First Line : 2402 LAMB AVE
Second Line :
City : RICHMOND
State : VA
Zip : 23222-4420
Country : US
Telephone Number : 434-917-1534
Fax Number :
Provider Business Practice Location Address
First Line : 2402 LAMB AVE
Second Line :
City : RICHMOND
State : VA
Zip : 23222-4420
Country : US
Telephone Number : 434-917-1534
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2021
Last Update Date : 09/21/2021

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Directions to “ MR. CHRISTOPHER SCOTT ADCOCK JR. LCSW” Practice Location

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