Provider Demographics
NPI:1205106093
Name:STRUNK, ADRIANA S (MSSW,LCSW)
Entity type:Individual
Prefix:
First Name:ADRIANA
Middle Name:S
Last Name:STRUNK
Suffix:
Gender:F
Credentials:MSSW,LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2401 S 31ST ST
Mailing Address - Street 2:MS-27-137
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76508-0001
Mailing Address - Country:US
Mailing Address - Phone:254-724-3820
Mailing Address - Fax:254-724-3314
Practice Address - Street 1:2401 S 31ST ST
Practice Address - Street 2:MS-27-137
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76508-0001
Practice Address - Country:US
Practice Address - Phone:254-724-3820
Practice Address - Fax:254-724-3314
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-10
Last Update Date:2012-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX006531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical