Provider Demographics
NPI:1245347947
Name:ADAMS, ELIZABETH MORRIS (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:MORRIS
Last Name:ADAMS
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1351
Mailing Address - Street 2:68 FAYETTEVILLE ST
Mailing Address - City:PITTSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27312-1351
Mailing Address - Country:US
Mailing Address - Phone:919-548-1322
Mailing Address - Fax:
Practice Address - Street 1:68 FAYETTEVILLE ST
Practice Address - Street 2:
Practice Address - City:PITTSBORO
Practice Address - State:NC
Practice Address - Zip Code:27312-9465
Practice Address - Country:US
Practice Address - Phone:919-548-1322
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-25
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC00005901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC561943778OtherMAGELLAN PROV. ID #
NC60324OtherBLUE CROSS/BLUE SHIELD
NC561943778OtherMAGELLAN PROV. ID #
NC2873280BMedicare PIN