Provider Demographics
NPI:1447398672
Name:HIGGS-ADAMS, R. KAY (MSW, LISW-S)
Entity Type:Individual
Prefix:
First Name:R.
Middle Name:KAY
Last Name:HIGGS-ADAMS
Suffix:
Gender:F
Credentials:MSW, LISW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5310 EAST MAIN STREET
Mailing Address - Street 2:SUITE 102
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43213-2598
Mailing Address - Country:US
Mailing Address - Phone:614-751-1090
Mailing Address - Fax:614-751-1091
Practice Address - Street 1:5310 EAST MAIN STREET
Practice Address - Street 2:SUITE 102
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213-2598
Practice Address - Country:US
Practice Address - Phone:614-751-1090
Practice Address - Fax:614-751-1091
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2010-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI-00054811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHHISW 14832Medicare PIN