MEDICARE: BARBARA ADOLFI 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
1	1041C0700X	Clinical Social Worker	0904000510	VA

General Provider Information

NPI Number	:	1750456257
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARBARA ADOLFI LCSW

Provider Business Mailing Address
First Line	:	PO BOX 295
Second Line	:
City	:	SPERRYVILLE
State	:	VA
Zip	:	22740-0295
Country	:	US
Telephone Number	:	540-987-8682
Fax Number	:

Provider Business Practice Location Address
First Line	:	14 WATER ST
Second Line	:
City	:	SPERRYVILLE
State	:	VA
Zip	:	22740-2136
Country	:	US
Telephone Number	:	540-987-8682
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/21/2006
Last Update Date	:	07/08/2007

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