Kenneth Wayne Adams, LMSW
Individual provider Active NPI Clinical Social Worker · Grand Rapids, MI
NPI 1992855464 · NPPES record last updated Jan 31, 2013
Key facts
- NPI
- 1992855464
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 6801021362 (MI)
- Practice address
- 2828 Kraft Ave SE
186
Grand Rapids, MI 49512-7700 - Phone
- (616) 949-9550
- Fax
- (616) 949-9551
- NPI assigned
- Jan 10, 2007
- 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)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801021362 | MI | Yes |
Addresses
Primary practice location
2828 Kraft Ave SE
186
Grand Rapids, MI 49512-7700
Mailing address
PO Box 1767
Grand Rapids, MI 49501-1767
Phone (616) 235-2090
Other providers in Grand Rapids, MI
- Christie Marie Adams
- Daniel James Adams
- Danielle Denise Adams
- Julia Adams
- Keanna Keshaunna Adams
- Lyree Marie Adams
- Marcy Lind Adams
- Matthew Glenn Adams
- Penny Nicole Adams
- Sandra M Adams
All providers in Grand Rapids, MI · Clinical Social Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2013. 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.