Provider Demographics
NPI:1841666294
Name:ADAMS, CHAD W (LISW-S)
Entity type:Individual
Prefix:MR
First Name:CHAD
Middle Name:W
Last Name:ADAMS
Suffix:
Gender:
Credentials:LISW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10840 ROSEBRIAR DR
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:KY
Mailing Address - Zip Code:41091-8011
Mailing Address - Country:US
Mailing Address - Phone:859-393-7701
Mailing Address - Fax:
Practice Address - Street 1:909 VINE ST
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45202-1105
Practice Address - Country:US
Practice Address - Phone:513-977-6826
Practice Address - Fax:513-977-6836
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-19
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.1700505-SUPV104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker