Diane Hannelore Adams, LMSW
Individual provider Active NPI Clinical Social Worker · Chester, CT
NPI 1962007286 · NPPES record last updated Dec 3, 2020
Key facts
- NPI
- 1962007286
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 5384 (CT)
- Practice address
- 67 Cedar Lake Rd
Chester, CT 06412-1008 - Phone
- (860) 526-1993
- NPI assigned
- Dec 3, 2020
- 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 |
|---|---|---|---|
| 5384 | CT | MD | Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 5384 | CT | Yes |
Addresses
Primary practice location
67 Cedar Lake Rd
Chester, CT 06412-1008
Mailing address
PO Box 85
Chester, CT 06412-0085
Phone (860) 526-1993
Other providers in Chester, CT
- Aaron Manor Inc
- Gerardo Inigo Adille
- Back to Nature Outdoor Therapy
- Kristy Ann O'Brien Baracco
- Maureen McCarthy Berube
- Elizabeth Madeline Bird
All providers in Chester, 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 3, 2020. 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.