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NPI Code Detail

MEDICARE: ANNEMARIE ADKINS LISW-S

MEDICARE: ANNEMARIE ADKINS LISW-S
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
1101YA0400XAddiction (Substance Use Disorder) Counselor
2101YM0800XMental Health Counselor
3104100000XSocial WorkerI.1801330OH
4104100000XSocial WorkerI.1801330-SUPVOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1I.I801330OTHEROHCOUNSELOR, SOCIAL WORKER AND MFT BOARD
20904013769OTHERVAVIRGINIA BOARD OF SOCIAL WORK

General Provider Information

NPI Number : 1881106896
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNEMARIE ADKINS LISW-S
Provider Business Mailing Address
First Line : 530 S MAIN ST
Second Line :
City : LIMA
State : OH
Zip : 45804-1500
Country : US
Telephone Number : 419-222-1168
Fax Number :
Provider Business Practice Location Address
First Line : 530 S MAIN ST
Second Line :
City : LIMA
State : OH
Zip : 45804-1500
Country : US
Telephone Number : 419-222-1168
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2017
Last Update Date : 08/22/2023

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45804-1500
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1104217322 — AERYN WILLIAMS LPCC-S
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Directions to “ ANNEMARIE ADKINS LISW-S” Practice Location

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