Charolette Loraine Adams, LSCSW
Individual provider Active NPI Clinical Social Worker · Leavenworth, KS
NPI 1003396003 · NPPES record last updated Aug 19, 2018
Key facts
- NPI
- 1003396003
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 4364 (KS)
- Practice address
- 111 Shawnee St Apt 607
Leavenworth, KS 66048-2071 - Phone
- (913) 240-1806
- NPI assigned
- Aug 19, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4364 | KS | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 4364 | KS | Yes |
Addresses
Primary practice location
111 Shawnee St Apt 607
Leavenworth, KS 66048-2071
Mailing address
111 Shawnee St Apt 607
Leavenworth, KS 66048-2071
Phone (913) 240-1806
Other providers in Leavenworth, KS
- A and D Hearing Center Inc
- Deborah R Aaron
- Jo Anne Abbate
- Katherine Abel
- Michelle Acevedo
- Monika Adams
- Victoria Addison
- Adnan Ashkar MD PA
- Padmaja Devi Adusumilli
- Affinty at Home, LLC
All providers in Leavenworth, KS · Clinical Social Worker in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.