Provider Demographics
NPI:1962459586
Name:ADAMS, AIMEE KINNIKIN (LSW)
Entity Type:Individual
Prefix:MISS
First Name:AIMEE
Middle Name:KINNIKIN
Last Name:ADAMS
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 1:1865 BONNEVILLE AVE
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89503-2411
Mailing Address - Country:US
Mailing Address - Phone:775-787-6753
Mailing Address - Fax:
Practice Address - Street 1:80 CONTINENTAL DR
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-3431
Practice Address - Country:US
Practice Address - Phone:775-324-3300
Practice Address - Fax:775-324-3382
Is Sole Proprietor?:No
Enumeration Date:2006-05-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV4216-S104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker