Provider Demographics
NPI:1346787041
Name:ADAMS, KENZI (LCSW)
Entity Type:Individual
Prefix:
First Name:KENZI
Middle Name:
Last Name:ADAMS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:KENZI
Other - Middle Name:CHRIS
Other - Last Name:SORENSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:74 LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:AMERICAN FORK
Mailing Address - State:UT
Mailing Address - Zip Code:84003-2222
Mailing Address - Country:US
Mailing Address - Phone:435-733-0759
Mailing Address - Fax:
Practice Address - Street 1:74 LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:AMERICAN FORK
Practice Address - State:UT
Practice Address - Zip Code:84003-2222
Practice Address - Country:US
Practice Address - Phone:435-733-0759
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-19
Last Update Date:2017-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8939763-35011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical