Holly Marie Adema, LCSW
Individual provider Active NPI Social Worker · Chico, CA
NPI 1104265727 · NPPES record last updated Jun 12, 2023
Key facts
- NPI
- 1104265727
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 76476 (CA)
- Practice address
- 4 Governors LN Ste C
Chico, CA 95926-5514 - Phone
- (530) 433-9355
- NPI assigned
- Jun 17, 2013
- 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 |
|---|---|---|---|
| 76476 | CA | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 76476 | CA | Yes |
Addresses
Primary practice location
4 Governors LN Ste C
Chico, CA 95926-5514
Mailing address
PO Box 4751
Chico, CA 95927-4751
Phone (707) 481-9809
Other providers in Chico, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2023. 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.