Adams, Ellen
Adams, Ellen is an sole proprietor health care provider with primary practice located at 18125 W Catawba Ave , Cornelius NC 28031-5641. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Adams, Ellen can be contacted via phone (980) 875-8332.Contact Information
Primary practice address
18125 W Catawba Ave
Cornelius NC 28031-5641
Phone: (980) 875-8332
Fax: (866) 321-7379
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C007087 | North Carolina |
Profile Details
NPI number | 1942505979 |
---|---|
LBN Legal business name | Adams, Ellen |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 23rd, 2011 |
Last updated | Feb 15th, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1942505979 | NPPES |
North Carolina | Other | Q389480281 | MEDICARE PTAN |
North Carolina | MEDICAID | 6007773 | MEDICARE PTAN |
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