Provider Demographics
NPI:1265591440
Name:ADAMS, SABRINA W (LICSW-C,CEAP)
Entity type:Individual
Prefix:MS
First Name:SABRINA
Middle Name:W
Last Name:ADAMS
Suffix:
Gender:F
Credentials:LICSW-C,CEAP
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 3211
Mailing Address - Street 2:129 E. GERMAN STREET
Mailing Address - City:SHEPHERDSTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:25443-3211
Mailing Address - Country:US
Mailing Address - Phone:304-876-8491
Mailing Address - Fax:304-876-9160
Practice Address - Street 1:129 E GERMAN STREET
Practice Address - Street 2:
Practice Address - City:SHEPHERDSTOWN
Practice Address - State:WV
Practice Address - Zip Code:25443-3211
Practice Address - Country:US
Practice Address - Phone:304-876-8491
Practice Address - Fax:304-876-9160
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDMD07640101YA0400X
WVDP00938700101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV207335OtherCIGNA
MDQD75OtherBC BS
WV207335OtherVALUE OPTIONS
WVPV126669OtherAPS
WV063623OtherVALUE OPTIONS