Provider Demographics
NPI:1649757402
Name:ADELMAN, ERIC M (LICSW)
Entity type:Individual
Prefix:MR
First Name:ERIC
Middle Name:M
Last Name:ADELMAN
Suffix:
Gender:M
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 BRACKETT AVE
Mailing Address - Street 2:
Mailing Address - City:STONEHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02180-3452
Mailing Address - Country:US
Mailing Address - Phone:781-405-2465
Mailing Address - Fax:
Practice Address - Street 1:6 BRACKETT AVE
Practice Address - Street 2:
Practice Address - City:STONEHAM
Practice Address - State:MA
Practice Address - Zip Code:02180-3452
Practice Address - Country:US
Practice Address - Phone:781-405-2465
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-24
Last Update Date:2018-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10265321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical