Provider Demographics
NPI:1629282710
Name:ADKINS, ANN LYNN (LSW)
Entity Type:Individual
Prefix:MRS
First Name:ANN
Middle Name:LYNN
Last Name:ADKINS
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12548 STATE ROUTE 56
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43044-9306
Mailing Address - Country:US
Mailing Address - Phone:937-568-7270
Mailing Address - Fax:
Practice Address - Street 1:701 E COLUMBIA ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OH
Practice Address - Zip Code:45503-4404
Practice Address - Country:US
Practice Address - Phone:937-325-8715
Practice Address - Fax:937-325-6240
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS0029406104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker