Signe Adam, LCSW
Individual provider Active NPI Clinical Social Worker · Eastford, CT
NPI 1437488996 · NPPES record last updated Dec 12, 2009
Key facts
- NPI
- 1437488996
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 007076 (CT)
- Practice address
- 289 Chaplin Rd
Eastford, CT 06242-9442 - Phone
- (860) 974-0036
- Fax
- (860) 974-0036
- NPI assigned
- Dec 12, 2009
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007076 | CT | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 007076 | CT | Yes |
Addresses
Primary practice location
289 Chaplin Rd
Eastford, CT 06242-9442
Mailing address
289 Chaplin Rd
Eastford, CT 06242-9442
Phone (860) 974-0036
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007076 | Other | CT | STATE OF CT DEPT OF PUBLIC HEALTH |
Other providers in Eastford, CT
- Robert F Adam
- Meg Bishop
- Mary Jean Dennison
- Eastford School District
- Aubrey Hines
- Milissa Diane Jimenez
All providers in Eastford, CT · Clinical Social Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2009. 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.