Adams, Angela Marie
Adams, Angela Marie is an individual health care provider with primary practice located at 4123 Dutchmans Lane Suite 515, Louisville KY 40207-4730. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Adams, Angela Marie can be contacted via phone (502) 899-6907.Contact Information
Primary practice address
4123 Dutchmans Lane Suite 515
Louisville KY 40207-4730
Phone: (502) 899-6907
Fax: (502) 899-6905
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 5019 | Tennessee |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 4055 | Kentucky |
Profile Details
| NPI number | 1033247721 |
|---|---|
| LBN Legal business name | Adams, Angela Marie |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 2nd, 2007 |
| Last updated | Jul 11th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033247721 | NPPES |
| Kentucky | Other | 208681 | SIHO |
| Kentucky | Other | 50100202 | SIHO |
| Kentucky | MEDICAID | 7100380070 | SIHO |
| Kentucky | Other | 000001001629 | SIHO |
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