Eileen T Adams, LMSW

Individual provider Active NPI Clinical Social Worker · Prescott, AZ

NPI 1447529607 · NPPES record last updated Dec 17, 2011

Key facts

NPI
1447529607
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
LMSW-12189 (AZ)
Practice address
500 N US Highway 89
Prescott, AZ 86313-5001
Phone
(928) 445-4860
NPI assigned
Dec 17, 2011
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LMSW-12189AZMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LMSW-12189 AZ Yes

Addresses

Primary practice location

500 N US Highway 89
Prescott, AZ 86313-5001

Mailing address

500 N US Highway 89
Prescott, AZ 86313-5001
Phone (928) 445-4860

Other providers in Prescott, AZ

All providers in Prescott, AZ · Clinical Social Worker in Arizona

Sources for this page

Verify at the official NPI Registry.