Provider Demographics
NPI:1851675110
Name:ADCOCK, WILLIAM MEADE (LCSW)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:MEADE
Last Name:ADCOCK
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4378 PARKHURST ST SW
Mailing Address - Street 2:
Mailing Address - City:POWDER SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30127-5717
Mailing Address - Country:US
Mailing Address - Phone:606-219-0551
Mailing Address - Fax:866-521-7464
Practice Address - Street 1:2655 DALLAS HWY SW STE 430751
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30064-2597
Practice Address - Country:US
Practice Address - Phone:606-219-0551
Practice Address - Fax:866-521-7464
Is Sole Proprietor?:No
Enumeration Date:2011-10-05
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA62171041C0700X
TN52681041C0700X
KY35401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical