Individual
ADAM C. CHASE
Active
Individual
ADAM C. CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
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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