Sherrie Jeanne Adams, LCSW, CADC

Individual provider Active NPI Clinical Social Worker · Redmond, OR

NPI 1164562823 · NPPES record last updated Mar 5, 2012

Key facts

NPI
1164562823
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
L3428 (OR)
Practice address
2445 SW Canal Blvd
Redmond, OR 97756-9593
Phone
(541) 330-4611
NPI assigned
Feb 8, 2007
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

LicenseStateTypeSpecialty
L3428ORMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X L3428 OR Yes

Addresses

Primary practice location

2445 SW Canal Blvd
Redmond, OR 97756-9593

Mailing address

2445 SW Canal Blvd
Redmond, OR 97756-9593
Phone (541) 330-4611

Other providers in Redmond, OR

All providers in Redmond, OR · Clinical Social Worker in Oregon

Sources for this page

Verify at the official NPI Registry.