Provider Demographics
NPI:1720111776
Name:ADAMS, ZELLA S (LCSWC)
Entity Type:Individual
Prefix:MRS
First Name:ZELLA
Middle Name:S
Last Name:ADAMS
Suffix:
Gender:F
Credentials:LCSWC
Other - Prefix:MISS
Other - First Name:ZELLA
Other - Middle Name:RAE
Other - Last Name:SILVERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:203 N BEECHWOOD AVENUE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-4311
Mailing Address - Country:US
Mailing Address - Phone:410-744-2820
Mailing Address - Fax:410-744-2820
Practice Address - Street 1:660 KENILWORTH DRIVE
Practice Address - Street 2:SUITE 101
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204
Practice Address - Country:US
Practice Address - Phone:410-583-5377
Practice Address - Fax:410-583-1127
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD024481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical