Individual
ADAM C. CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
1915 LYNDALE AVE S, MINNEAPOLIS, MN 55403-3380
(800) 336-5973
(612) 234-4689
Mailing address
1915 LYNDALE AVE S, MINNEAPOLIS, MN 55403-3380
(800) 336-5973
(612) 234-4689
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16230
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1046764
PREF. 1, BURNSVILLE COUNS
MN
01
—
617K3CH
BCBS, BURNSVILLE COUSELIN
MN
01
—
62-67037
MEDICA, BURSNVILLE COUNSE
MN
01
—
924SOCH
BCBS, PRIVATE, NON-PARTIC
MN
Enumeration date
12/18/2006
Last updated
03/21/2022
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