Provider Demographics
NPI:1720385511
Name:BEARMAN, ADAM TODD (MSW, LCSW)
Entity Type:Individual
Prefix:MR
First Name:ADAM
Middle Name:TODD
Last Name:BEARMAN
Suffix:
Gender:M
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:211 E SIX FORKS RD BLDG C
Mailing Address - Street 2:SUITE 201
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-7745
Mailing Address - Country:US
Mailing Address - Phone:919-395-6534
Mailing Address - Fax:866-873-5516
Practice Address - Street 1:211 E SIX FORKS RD BLDG C
Practice Address - Street 2:SUITE 201
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-7745
Practice Address - Country:US
Practice Address - Phone:919-395-6534
Practice Address - Fax:866-873-5516
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-14
Last Update Date:2015-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0071461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical