Provider Demographics
NPI:1013766955
Name:ADAMS, PEYTON (LGSW, CSW, LSW)
Entity type:Individual
Prefix:
First Name:PEYTON
Middle Name:
Last Name:ADAMS
Suffix:
Gender:F
Credentials:LGSW, CSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:154 CEDAR PL
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25702-9607
Mailing Address - Country:US
Mailing Address - Phone:304-962-6270
Mailing Address - Fax:
Practice Address - Street 1:517 9TH ST FL 2
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25701-2020
Practice Address - Country:US
Practice Address - Phone:304-526-2049
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-14
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2597971041C0700X
OHS.24117031041C0700X
WVBP009468771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical