Provider Demographics
NPI:1629124268
Name:PICKETT, ADARIS (MSW, LICSW)
Entity Type:Individual
Prefix:MRS
First Name:ADARIS
Middle Name:
Last Name:PICKETT
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 KEVIN LN
Mailing Address - Street 2:
Mailing Address - City:JAFFREY
Mailing Address - State:NH
Mailing Address - Zip Code:03452-5729
Mailing Address - Country:US
Mailing Address - Phone:978-928-9070
Mailing Address - Fax:603-633-1641
Practice Address - Street 1:6 KEVIN LN
Practice Address - Street 2:
Practice Address - City:JAFFREY
Practice Address - State:NH
Practice Address - Zip Code:03452-5729
Practice Address - Country:US
Practice Address - Phone:978-928-9070
Practice Address - Fax:603-633-1641
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH24591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical