Provider Demographics
NPI:1962681320
Name:ADSIT, JOAN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JOAN
Middle Name:
Last Name:ADSIT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 E COLORADO ST
Mailing Address - Street 2:
Mailing Address - City:SHERIDAN
Mailing Address - State:WY
Mailing Address - Zip Code:82801-5103
Mailing Address - Country:US
Mailing Address - Phone:307-752-0812
Mailing Address - Fax:
Practice Address - Street 1:1101 SUGARVIEW DR
Practice Address - Street 2:SUITE 101
Practice Address - City:SHERIDAN
Practice Address - State:WY
Practice Address - Zip Code:82801-5383
Practice Address - Country:US
Practice Address - Phone:307-752-0812
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-01
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYLCSW-5171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical