Provider Demographics
NPI:1497055164
Name:ADAMS, DAVIA DOREEN (LMSW)
Entity Type:Individual
Prefix:
First Name:DAVIA
Middle Name:DOREEN
Last Name:ADAMS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52ND ST. AND 761ST. TANK BATTALION
Mailing Address - Street 2:DEPARTMENT OF SOCIAL WORK, BLDG. 2255
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:76544-4752
Mailing Address - Country:US
Mailing Address - Phone:254-288-6474
Mailing Address - Fax:
Practice Address - Street 1:761ST TANK BATTALION
Practice Address - Street 2:BLDG. 2255
Practice Address - City:FORT HOOD
Practice Address - State:TX
Practice Address - Zip Code:76544-4752
Practice Address - Country:US
Practice Address - Phone:254-288-6474
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-28
Last Update Date:2010-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC9595104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker