Provider Demographics
NPI:1720749690
Name:ADAMS, ADRIANNE MARIE (LICSW)
Entity Type:Individual
Prefix:
First Name:ADRIANNE
Middle Name:MARIE
Last Name:ADAMS
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:ADRIANNE
Other - Middle Name:MARIE
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICSW
Mailing Address - Street 1:210 JOHNSON RD APT 16
Mailing Address - Street 2:
Mailing Address - City:CHICOPEE
Mailing Address - State:MA
Mailing Address - Zip Code:01022-1203
Mailing Address - Country:US
Mailing Address - Phone:857-544-9897
Mailing Address - Fax:
Practice Address - Street 1:210 JOHNSON RD APT 16
Practice Address - Street 2:
Practice Address - City:CHICOPEE
Practice Address - State:MA
Practice Address - Zip Code:01022-1203
Practice Address - Country:US
Practice Address - Phone:857-544-9897
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-04
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2258071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical