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NPI Code Detail

MEDICARE: MS. MARCIA L. ADAMS D.MIN, LCSW

MEDICARE:  MS. MARCIA L. ADAMS  D.MIN, 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 Worker072066NY

General Provider Information

NPI Number : 1649616657
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARCIA L. ADAMS D.MIN, LCSW
Provider Business Mailing Address
First Line : 1500 NOBLE AVE APT 6K
Second Line :
City : BRONX
State : NY
Zip : 10460-3114
Country : US
Telephone Number : 914-316-2156
Fax Number :
Provider Business Practice Location Address
First Line : 2006 MADISON AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10035-1217
Country : US
Telephone Number : 212-979-8800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2013
Last Update Date : 05/16/2013

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Directions to “ MS. MARCIA L. ADAMS D.MIN, LCSW” Practice Location

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