Provider Demographics
NPI:1467095315
Name:ZANDERS, ADRIANNE (CDCA, SW-A, OCPC)
Entity Type:Individual
Prefix:
First Name:ADRIANNE
Middle Name:
Last Name:ZANDERS
Suffix:
Gender:F
Credentials:CDCA, SW-A, OCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1735 S HAWKINS AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44320-3902
Mailing Address - Country:US
Mailing Address - Phone:330-867-5400
Mailing Address - Fax:
Practice Address - Street 1:1735 S HAWKINS AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44320-3902
Practice Address - Country:US
Practice Address - Phone:330-867-5400
Practice Address - Fax:330-869-8263
Is Sole Proprietor?:No
Enumeration Date:2019-10-23
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHW.2200306104100000X
171M00000X
OKOCPC.161305405300000X
OHPS.00000080405300000X
OHCDCA.175440101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No405300000XOther Service ProvidersPrevention Professional