Provider Demographics
NPI:1376581504
Name:ADAMS, ANDREA LADAWN (MSSW, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:LADAWN
Last Name:ADAMS
Suffix:
Gender:F
Credentials:MSSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:991 S KENMORE DR
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47714-7514
Mailing Address - Country:US
Mailing Address - Phone:812-491-7739
Mailing Address - Fax:812-491-8095
Practice Address - Street 1:991 S KENMORE DR
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47714-7514
Practice Address - Country:US
Practice Address - Phone:812-491-7739
Practice Address - Fax:812-491-8095
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34003322A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000188109OtherANTHEM PROVIDER NUMBER