Provider Demographics
NPI:1912187105
Name:ADAMS, AMY ELIZABETH (LSCSW)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:ELIZABETH
Last Name:ADAMS
Suffix:
Gender:F
Credentials:LSCSW
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:E
Other - Last Name:ADAMS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:21350 W 153RD ST
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-5413
Mailing Address - Country:US
Mailing Address - Phone:913-322-2400
Mailing Address - Fax:913-621-5730
Practice Address - Street 1:2119 DOVE RD
Practice Address - Street 2:
Practice Address - City:BENNINGTON
Practice Address - State:KS
Practice Address - Zip Code:67422-9004
Practice Address - Country:US
Practice Address - Phone:785-452-5787
Practice Address - Fax:913-621-5730
Is Sole Proprietor?:No
Enumeration Date:2007-11-06
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS056721041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical