Caleb Adu

Individual provider Active NPI Clinical Social Worker · Columbia, MD

NPI 1194249946 · NPPES record last updated Aug 2, 2017

Key facts

NPI
1194249946
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
Practice address
6950 Columbia Gateway Dr
Columbia, MD 21046-2706
Phone
(410) 953-1896
NPI assigned
Aug 2, 2017
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Yes

Addresses

Primary practice location

6950 Columbia Gateway Dr
Columbia, MD 21046-2706

Mailing address

6950 Columbia Gateway Dr
Columbia, MD 21046-2706

Other providers in Columbia, MD

All providers in Columbia, MD · Clinical Social Worker in Maryland

Sources for this page

Verify at the official NPI Registry.