Scott E Adams, LCSW

Individual provider Active NPI Clinical Social Worker · Lafayette, IN

NPI 1346528973 · NPPES record last updated Aug 1, 2011

Key facts

NPI
1346528973
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
34006303A (IN)
Practice address
610 Main St
Lafayette, IN 47901-1451
Phone
(765) 423-2638
NPI assigned
Aug 1, 2011
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

State licenses

LicenseStateTypeSpecialty
34006303AINMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34006303A IN Yes

Addresses

Primary practice location

610 Main St
Lafayette, IN 47901-1451

Mailing address

610 Main St
Lafayette, IN 47901-1451

Other providers in Lafayette, IN

All providers in Lafayette, IN · Clinical Social Worker in Indiana

Sources for this page

Verify at the official NPI Registry.