Jeannette Anne Adamski-Church, CSP II

Individual provider Active NPI Social Worker · Roseville, CA

NPI 1720110489 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1720110489
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
Practice address
101 Cirby Hills Dr
Suite 5
Roseville, CA 95678-4360
Phone
(916) 787-8979
Fax
(916) 787-8989
NPI assigned
Mar 9, 2007
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Yes

Addresses

Primary practice location

101 Cirby Hills Dr
Suite 5
Roseville, CA 95678-4360

Mailing address

3565 Alpine LN
Loomis, CA 95650-9039
Phone (916) 787-8979

Other providers in Roseville, CA

All providers in Roseville, CA · Social Worker in California

Sources for this page

Verify at the official NPI Registry.