Provider Demographics
NPI:1831242809
Name:ADKINS, WILMACAROL (MSW , LISW)
Entity type:Individual
Prefix:MS
First Name:WILMACAROL
Middle Name:
Last Name:ADKINS
Suffix:
Gender:F
Credentials:MSW , LISW
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 864
Mailing Address - Street 2:468 COUNTY ROAD 11
Mailing Address - City:BELLEFONTAINE
Mailing Address - State:OH
Mailing Address - Zip Code:43311-0864
Mailing Address - Country:US
Mailing Address - Phone:937-599-2662
Mailing Address - Fax:937-599-6233
Practice Address - Street 1:468 COUNTY ROAD 11
Practice Address - Street 2:
Practice Address - City:BELLEFONTAINE
Practice Address - State:OH
Practice Address - Zip Code:43311-9260
Practice Address - Country:US
Practice Address - Phone:937-599-2662
Practice Address - Fax:937-599-6233
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-20
Last Update Date:2016-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI19371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical