Individual
MRS. ANGELA MARIE ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4123 DUTCHMANS LANE, SUITE 515, LOUISVILLE, KY 40207-4730
(502) 899-6907
(502) 899-6905
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
4055
KY
1041C0700X
Clinical Social Worker
5019
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001001629
ANTHEM
KY
01
—
208681
SIHO
KY
01
—
50100202
PASSPORT
KY
05
—
7100380070
—
KY
Enumeration date
03/02/2007
Last updated
07/11/2023
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