Provider Demographics
NPI:1134103872
Name:ADAMS, ROSEANN (MSW LCSW)
Entity Type:Individual
Prefix:
First Name:ROSEANN
Middle Name:
Last Name:ADAMS
Suffix:
Gender:F
Credentials:MSW LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 NORTH MICHIGAN AVE
Mailing Address - Street 2:SUITE 1917
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60602
Mailing Address - Country:US
Mailing Address - Phone:312-409-3736
Mailing Address - Fax:
Practice Address - Street 1:30 NORTH MICHIGAN AVE
Practice Address - Street 2:SUITE 1917
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602
Practice Address - Country:US
Practice Address - Phone:312-409-3736
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-06
Last Update Date:2019-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILIL-149.0053301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical