Provider Demographics
NPI:1689992638
Name:ARNOLD, ADAM WESLEY (MSW)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:WESLEY
Last Name:ARNOLD
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 W FLEMING DR
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-3966
Mailing Address - Country:US
Mailing Address - Phone:828-413-9629
Mailing Address - Fax:
Practice Address - Street 1:420 W FLEMING DR
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-3966
Practice Address - Country:US
Practice Address - Phone:828-438-6218
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-13
Last Update Date:2013-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0069091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6007648Medicaid
NC2347370Medicare UPIN